Yakham Mohamed Leye’s research while affiliated with Centre Hospitalier Universitaire de Dakar and other places

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Publications (34)


Late Diagnosis of Turner Syndrome in Adulthood; a Case Study from the Endocrinology-Diabetology Nutrition Department of the National Hospital of Pikine Senegal
  • Article

January 2024

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8 Reads

Open Journal of Endocrine and Metabolic Diseases

Nafy Ndiaye

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Yakham Mohamed Leye

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Ngone Diaba Diack

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[...]

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Figure 3 : Répartition des modalités évolutives en fonction du traitement
Journal of african clinical cases and reviews Journal africain des cas cliniques et revues. Article original
  • Article
  • Full-text available

March 2023

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484 Reads

Journal of african clinical cases and reviews / Journal africain des cas cliniques et revues www.jaccrafrica.com ISSN 1859-5138 Open access Article original Les hyperthyroïdies à Saint-Louis du Sénégal : problématique de la prise en charge diagnostique et thérapeutique

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HYPOTHYROIDIES AU SERVICE DE MEDECINE INTERNE/ENDOCRINOLOGIE-DIABETOLOGIE NUTRITION DU CENTRE HOSPITALIER NATIONAL DE PIKINE-SENEGAL : ETUDE RETROS-PECTIVE DU 01 JANVIER 2011 AU 30 JUIN 2019

December 2021

Dakar Medical

Introduction: Hypothyroidism is the most common thyroid dysfunction. It is important to determine the cause because some forms are reversible. The objective of our study was to establish the profile of hypothyroidism in our practice. Methods: this was a retrospective study during the period from January 1, 2011 to June 30, 2019 including all patients with hypothyroidism confirmed by hormonal assays and followed at the Internal Medicine, Endocrinology, Diabetology and Nutrition department of the National Hospital Center of Pikine. Results: we retained 292 files of patients monitored for hypothyroidism. The average age of the patients was 49.7 years. There were 276 women and 16 men. Hypothyroidism was peripheral in 289patients (98.97%) and central in 3 patients (1.03%). Concerning the aetiologies of peripheral hypothyroidism, it was a thyroidectomy in 70 patients (23.97%), radio-iodine therapy in 7 patients (2.39%), Hashimoto’s disease in 58 patients (19.86%), atrophic thyroiditis in 10 patients (3.42%) and a thyroid hormone synthesis disorder in 2 patients (0.68%). In 140 patients suffering from peripheral hypothyroidism (47.94%), no aetiology could be retained. Hashimoto’s disease was associated with other autoimmune diseases in 3 patients including myasthenia gravis, Addison’s disease and Goujerot syndrome. For the three patients presenting thyrotropic insufficiency, Sheehan syndrome was suggested in the face of a notion of haemorrhagic delivery, followed by an absence of milk flow. Pituitary magnetic resonance imaging showed an empty Sella turcica appearance. Conclusion: we can conclude that the aetiologies of hypothyroidism in our practice are dominated by thyroidectomy and Hashimoto’s disease. The aetiology was undetermined in 48% of patients due to insufficient exploration.






Citations (11)


... Hypertension was the most frequent presenting symptom (48.8%), a pattern observed in LMICs where functional adrenal tumors like pheochromocytomas are more prevalent [9]. In contrast, incidentaloma are more commonly detected in high-income countries, particularly in females during the sixth and seventh decades [10]. ...

Reference:

Clinical Outcomes of Adrenalectomy in a Resource- Limited Setting: Predictors of Complications and Surgical Challenges
Overview of Adrenals Tumors in Dakar Hospitals
  • Citing Article
  • January 2024

Open Journal of Internal Medicine

... In clinical practice, inadequate control of hyperthyroidism is often the result of suboptimal adherence to ATDs. True ATD resistance as the cause of inadequate control of hyperthyroidism is rare and largely limited to case reports (25). There is no clear definition of ATD resistance, but reports have suggested that this diagnosis can be made in patients whose thyroid hormone levels remain elevated despite compliance to high doses of ATD (26) or when ATD doses exceeding that of standard dose ranges (up to 30mg/day for MMI and 300mg/day for PTU) are required to achieve euthyroidism (27). ...

Resistance to Anti-Thyroid Drugs in Graves’ Disease: Clinical-Biological Characteristics and Alternative Therapy in Tropical Area

Open Journal of Endocrine and Metabolic Diseases

... 55 However, there are still case reports regarding ATinduced thrombocytopenia. [56][57][58][59] Therefore, a clinical trial will be more convincing and provide further evidence of the therapeutic effects and safety of AT in patients with ITP. ...

Thrombocytopenia purpura, myositis and cytolitic hepatitis: a rare association linked with atorvastatin
  • Citing Article
  • January 2013

Le Mali médical

... 17 Consistent with this finding is the report of previous study in Senegal which reported a male to female ratio of 0.67:1. 18 In this study, majority of the respondents had duration of DM of less than 5 years. The shorter duration of DM seen among the respondents may be due to late presentation to the hospital for early diagnosis and treatment as well as recall bias. ...

Assessment of the Podiatric Risk on Diabetics in Dakar Hospital Area: Cross-Sectional Study in Regard to 142 Patients

Journal of Diabetes Mellitus

... Some are announced, such as skin rash, arthralgia, or even agranulocytosis, However, hepatotoxicity is rarely described. Therefore, during the treatment of Graves' disease, carbimazole drug-induced hepatitis which immutability is likely and probably an immuno-allergic mechanism (Leye et al., 2017a). ...

Diagnostic and Therapeutic Challenges of De Quervain Thyroiditis in Sub-Saharan Africa: Illustration with Two New Cases in Dakar

Open Journal of Endocrine and Metabolic Diseases

... Sur le plan clinique, le cercle autoaggravant infections-déséquilibre du diabète est bien connu [9]. Abbas et al. rapportaient une glycémie moyenne à 2,8 g/L [8], et l'infection occupait 78 % des facteurs de décompensation diabétique dans la série de Sarr et al. [10]. En l'absence de données d'hémoglobine glyquée (HbA 1c ), la part réelle du déséquilibre glycémique dans la genèse de l'infection reste toutefois difficile à établir dans notre série. ...

Acidoc étose chez le sujet diabétique de type 1: À propos de 73 cas colligés à Dakar
  • Citing Article
  • January 2011

Le Mali médical

... Ce nom est utilisé pour décrire une métastase cutanée d'une tumeur viscérale à l'ombilic [3]. Son incidence est de 1 à 3 % de tous les néoplasies abdomino-pelviens [4]. Elle pose un problème de diagnostic étiologique, la recherche de la tumeur primitive pouvant se révéler difficile, ainsi qu'un problème de pronostic. ...

Nodule de Sœur Marie-Josèphe révélateur de carcinomes digestif et ovarien: à propos de 4 cas

Pan African Medical Journal

... Systematic or targeted screening for GDM is controversial and is reflected in the heterogeneity of international recommendations and professional practices [2,5,7] . The prevalence of GDM and its risk factors depend on the population studied and the screening criteria used [8][9][10] . Thus, the prevalence of GDM is difficult to estimate because of the difficulties of systematic screening and the diversity of diagnostic criteria [4,8,9] . ...

P048 Caractéristiques épidémiologiques du diabète gestationnel dépisté selon les recommandations de l’IADPSG dans une population noire africaine en milieu hospitalier dakarois
  • Citing Article
  • March 2015

Diabetes & Metabolism

... Others (three authors) pursued a conservative line of management. While complete resolution was achieved in all cases, the course of 1 patient reported by Touré et al. [5] was complicated by pulmonary embolism. In our case, a trial of medical treatment failed and as the thrombus was free floating and threatening to embolize, we adopted a more aggressive approach. ...

Thrombosis of the inferior vena cava and right atrium: A rare complication of an amebic liver abscess in Dakar, Senegal
  • Citing Article
  • February 2012

Medecine et Sante Tropicales

... Additionally, the average age of onset diabetic ketoacidosis in the international literature varies between 31 and 45 years and it appears that the second and third decades of life are the most affected by this condition according to research conducted in Morocco [11]. Several international and national studies conducted on diabetic ketoacidosis cases consistently report a female predominance ranging from 51% to 60% [12,13], corroborating with our findings showing that 54.3% of diabetic ketoacidosis cases are females. It is suggested that this higher prevalence among females could be attributed to female hormones which make women more predisposed to diabetes and DKA compared to males. ...

[Ketoacidosis in type 1 diabetes mellitus: about 73 cases in Dakar]

Le Mali médical