Cenac A, Djangnikpo Y L
Service de Médecine à l'Hôpital national de Niamey.
Med Trop (Mars). 1989 Apr-Jun;49(2):197-9.
The authors report 195 cases of endocrine diseases diagnosed in a department of internal medicine at the National Hospital of Niamey (Niger) from January 1982 to December 1986. Diseases of the thyroid gland were largely predominant (70.8%), with simple (34.9%) and nodular (19%) goiters. Hypothyroidism and thyroiditis were not frequent (2 and 2.6%, respectively). The rarity of thyroid cancers (1%) was in relation to the direct hospitalization of these patients in the surgical department. They were not included in this study. In spite of the magnitude of tuberculosis endemicity in Niger, primary adrenocortical deficiency (Addison's disease) was absent. The frequency (15.4%) of postpartum hypopituitarism (Sheehan's syndrome) is explained by sahelian customs: a great majority of African women delivered at home without medical assistance.
作者报告了1982年1月至1986年12月期间在尼亚美国家医院（尼日尔）内科诊断出的195例内分泌疾病病例。甲状腺疾病占主导地位（70.8%），其中单纯性甲状腺肿（34.9%）和结节性甲状腺肿（19%）。甲状腺功能减退症和甲状腺炎并不常见（分别为2%和2.6%）。甲状腺癌罕见（1%），这与这些患者直接入住外科有关。他们未被纳入本研究。尽管尼日尔结核病流行程度很高，但原发性肾上腺皮质功能减退症（艾迪生病）并不存在。产后垂体功能减退症（席汉综合征）的发生率（15.4%）可由萨赫勒地区的习俗来解释：绝大多数非洲妇女在家中分娩且无医疗援助。
