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Letter to Editor | Open Access

Published on: 04 Apr 2026

Article ID: wjed.2026.d0404

Jaundice During Graves’ Disease: Do Not Overlook Autoimmune Hepatitis
K. Gorgi* 1 M. Chaouche 2

Graves’ disease is an autoimmune disorder characterized by the presence of stimulating antibodies directed against the thyroid-stimulating hormone (TSH) receptor, leading to hyperthyroidism. It may occur in an autoimmune background and can be associated with other systemic autoimmune diseases such as rheumatoid arthritis, systemic lupus erythematosus, or Sjögren’s syndrome. Hepatic involvement during hyperthyroidism is well described and may be related either to the disease itself or to…

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Case Presentation | Open Access

Published on: 27 Mar 2026

Article ID: wjed.2026.c2702

Non-Syndromic Familial Papillary Thyroid Carcinoma: Early Onset and Multifocal Presentation in a mother and Daughter – A Case Report and Updated Literature Review
K. Gorgi* 1 M. Chaouche 2

Introduction: Familial non-medullary thyroid carcinoma accounts for 3-7% of differentiated thyroid cancers. It is defined by the occurrence of papillary thyroid carcinoma in at least two first degree relatives in the absence of a known hereditary syndrome.

Case Presentation: We report the case of a 56-year-old mother and her 35-year-old daughter, both diagnosed with papillary thyroid carcinoma discovered in EU-TIRADS V classified nodules.…

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Case Presentation | Open Access

Published on: 13 Mar 2026

Article ID: wjed.2026.c1302

Compressive Dyshormonogenetic Goiter in Adults: Two Case Reports and an Updated Literature Review
K. Gorgi* 1 M Chaouche 2

Introduction: Dyshormonogenetic goiter is a rare cause of congenital hypothyroidism secondary to a defect in thyroid hormonogenesis. Despite early replacement therapy, a compressive multinodular goiter may appear in adulthood.

Observations: We report two patients aged 19 and 28 years, followed since childhood for congenital hypothyroidism, who developed a compressive multinodular goiter treated by total thyroidectomy. Histopathological…

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Case Series | Open Access

Published on: 03 Mar 2026

Article ID: wjed.2026.c0301

Type 2 Diabetes Mellitus Associated with Behçet's Disease: A Case Series
Salem Bouomrani* 1,2 Safa Trabelsi 1,2 Wided Letaïef 2,3 Warda Mahdhaoui 2,3

Behçet's disease (BD) is a systemic vasculitis widely prevalent in countries along the ancient Silk Road and around the Mediterranean. Endocrine complications are uncommon in this vasculitis. Non-corticosteroid-induced diabetes mellitus remains exceptional in BD. We report three cases of BD associated with diabetes mellitus type 2 in three Tunisian patients. They are two women and a man aged 42, 37, and 48 years old respectively with mean body mass index at 22.33 kg/m². Diabetes occurred at…

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Case Report | Open Access

Published on: 14 Feb 2026

Article ID: wjed.2026.b1407

Subclinical Hypothyroidism as An Unexpected Etiology of Recurrent Miscarriages
Salem Bouomrani* 1,2 Wided Letaïef 2,3 Sawssan Ben Teber 1,2 Warda Mahdhaoui 2,3

Recurrent miscarriages are a rare occurrence in routine medical practice (1-3% of pregnancies) and represent a significant diagnostic challenge.

Subclinical hypothyroidism (SCH) is the most common thyroid disorder during pregnancy (3-5% of pregnant women) and can be responsible for several obstetric complications such as miscarriage, preterm birth, gestational hypertension, preeclampsia, and increased perinatal mortality. SCH remains an exceptional and still controversial cause…

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Research Article | Open Access

Published on: 10 Feb 2026

Article ID: wjed.2026.b1001

Vitamin D Status in Patients with Primary Hyperparathyroidism: Results from a Retrospective Study
Gorgi K* 1 Chaouche M 2 Errahali Y 3 Rifai K 1 Iraqi H 1 Gharbi MH 1

Introduction: Primary Hyperparathyroidism (PHPT) is frequently associated with vitamin D deficiency, which may exacerbate hyperparathyroidism, hypercalcemia, and bone complications.

Objective: To assess vitamin D status in patients with PHPT and analyze its biological and clinical impact.

Patients and Methods: A retrospective study conducted over seven years (2015-2022) including patients hospitalized for PHPT. Serum…

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Research Article | Open Access

Published on: 10 Feb 2026

Article ID: wjed.2026.b1002

Clinical and Biological Features of Primary Hyperparathyroidism in Multiple Endocrine Neoplasia Type 2A: A Retrospective Study of Five Cases
Gorgi K* 1 Chaouche M 2 Rifai K 1 Iraqi H 1 Gharbi MH 1

Introduction: Multiple Endocrine Neoplasia type 2A (MEN2A) is a rare genetic disorder primarily characterized by Medullary Thyroid Carcinoma (MTC) and Primary Hyperparathyroidism (PHPT) in 20 to 30% of cases. PHPT is rarely the initial presenting symptom. This study aims to describe the clinical and biological features of PHPT in MEN2A to improve understanding and management of this condition.

Patients and Methods: This is a retrospective…

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Case Series | Open Access

Published on: 10 Feb 2026

Article ID: wjed.2026.b1003

Ectopic Mediastinal Parathyroid Adenomas: Diagnostic and Therapeutic Challenges Through a Series of Three Cases
Gorgi K* 1 Chaouche M 2 Rifai K 1 Iraqi H 1 Gharbi MH 1

Ectopic mediastinal parathyroid adenoma is a significant cause of refractory and recurrent primary hyperparathyroidism. Although rare compared to cervical locations, this pathology presents particular diagnostic and therapeutic challenges. We report a series of three cases illustrating these difficulties, along with favorable outcomes achieved through advanced imaging and appropriate surgical management. An updated literature review is provided to better understand the optimal care for these…

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Letter to Editor | Open Access

Published on: 10 Feb 2026

Article ID: wjed.2026.b1004

Papillary Thyroid Carcinoma Revealing Cowden Syndrome: A Clinical Observation
Gorgi K* 1 Chaouche M 2

Cowden syndrome is a rare genetic disorder, often linked to PTEN gene mutations, characterized by a predisposition to various cancers. We report the case of a patient presenting with papillary thyroid carcinoma revealing the syndrome, highlighting the importance of early diagnosis and multidisciplinary management.

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Short Communication | Open Access

Published on: 10 Feb 2026

Article ID: wjed.2026.b1005

Autoimmune Pancreatitis Revealing Slowly Progressive Type 1 Diabetes: A Clinical Observation
Gorgi K* 1 Chaouche M 2

Autoimmune Pancreatitis (AIP) is a rare cause of chronic pancreatitis, accounting for approximately 2% of cases [1]. The association between Slowly Progressive Type 1 Diabetes (SPT1D) and AIP is poorly described in the literature [2]. We report the case of a patient presenting with concomitant AIP and type 1 diabetes, highlighting the possible involvement of a common autoimmune process affecting both the endocrine and exocrine pancreatic functions.

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