Hajj (Pilgrimage) is one of the five pillars of Islam. During Hajj, the person's life routine changes, weather, diet and habits are different; therefore diabetes that depends on a stable routine would predictably be significantly affected. The aim of this study is to highlight the epidemiology, clinical data of diabetic Moroccan Pilgrims. We performed a prospective study conducted over a period of 50 days from the 07 august 2017 until 11 September 2017, based on questionnaire. The total number of patients was 80 (40 men and 40 women), all of them belong to type 2 diabetes mellitus. The mean of age was 62.85 y (+/-8,9 SD). The mean of duration of diabetes was 9.37ans (+/-7.3 SD) .The mean of Random Plasma Glucose was 1.58 g/l (SD+/-0.4). In our study, 11.3% of patients had diabetic nephropathy, 13.8% had diabetic neuropathy and 1.3% had heart disease. We admitted 4 patients (5%) for DKA. Poor diabetes control in pilgrims with diabetes predisposes to morbidity and increases risk of acute complications. Patients with diabetes insist on performing Hajj, thereby creating a medical challenge for themselves and their health care providers.
Le ganglioneurome est une tumeur nerveuse bénigne rare, d'origine neuroectodermique et de localisation rétropéritonéale fréquente. Nous rapportons l'observation d'un patient de 55 ans dont la tumeur est révélée fortuitement sur une échographie abdominale demandée dans le cadre d'une cytolyse hépatique secondaire à une hépatite virale C. Le patient est opéré après la réalisation d'un scanner abdominal et d'un bilan hormonal. L'examen anatomopathologique de la pièce opératoire est en faveur d'un ganglioneurome. Devant une volumineuse masse rétropéritonéale avec état général conservé, on doit envisager le diagnostic de ganglioneurome car l'exérèse chirurgicale complète permet une guérison sans récidive. Préalablement, l'ensemble des autres diagnostics différentiels doit être éliminé.
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