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Receptor blockers ARB's ; in 3% of patients. 3% were on no therapy for their hypertension. 6 out of 9 patients with microalbuminuria 66.6% ; , 25 out of 46 macroalbuminuric patients 54.3% ; . 9 out of 20 mild renal failure patients 45% ; , and 4 out of 5 with moderate renal failure 80% ; did receive ACEI. 64% there systolic blood pressure was 130 mmHg, and 67% their diastolic blood pressure was 80mmHg . With significantly higher female patients with less adequately controlled BP as 70.2% Females systolic BP 130mmHg ; versus55% males systolic blood pressure 130mmHg ; . Conclusions: low rate of usage of ACEI's and ARB's were observed in our diabetic population in contrast with current trends and international recommendations. OC4. THYROID CANCER IN NORTH EASTERN LIBYA Ahmed M. Swalem, F M Bugrara M A Bumdas. Endocrine Unit, University Department of Medicine, 7th October Hospital, Benghazi. Libya. aswalem51 yahoo Introduction: Thyroid cancer accounts for less than 1% of all human malignant disease. Little is known about thyroid cancer in Libya although nodular thyroid disease is common. Objectives : to assess the numbers and types of thyroid cancer in NE Libya diagnosed over a ten year period and to assess the locally available facilities to manage such cases. Methods: retrospective analysis of case records from the three major hospitals in Benghazi and the clinics affiliated to them over a ten year period 1996-2006 ; . Results: A total of eighty seven cases of thyroid cancer were detected over the ten year period. The F: M ratio was 4.4 : 1. Most cases 78% ; were in the age group 20-60 years. 96.8 % of cases presented with asymptomatic neck swelling : single nodule 79.65 %, multinodular goiter 15.6%, and diffuse goiter in 4.6%. One case 1.68% ; presented with toxic goiter and another case 1.68% ; presented with cervical lymphadenopathy without goiter. Diagnostic aids included ultrasonic examination of the neck in all cases, CT scan and radioactive iodine scan in some cases, and fine needle aspiration cytology and excisional biopsy in all cases. Most common histological type was papillary carcinoma in 63.2%, followed by follicular 17.2%, medullary 4.9%, anaplastic in 2.2%, and other types in five case 2 insular type, 1 Hurthle cell type, 1 sequamous type, and 1 metastatic ; . No metastases were detected with the available diagnostic facilities ; in 86.2% of cases at the time of presentation. 13.8% of cases had metastases : 9 cases 10.3% ; in cervical lymphnodes, 5 cases 5.7% ; cervical lymphnodes and local infiltration, and two cases had distant metastases : one lung and one spine metastases. All cases were treated by surgery lobectomy, hemithyroidectomy , or total thyroidectomy ; followed in many cases by radioactive iodine ablation and TSH-suppresion therapy and chemotherapy. Some diagnostic facilities are available and fairly reliable such as ultrasonography, CT and a MRI scans. Thyroglobulin test is not always available, radioactive iodine scanning and therapy are not available. Cytology and histopathology reports are sometimes doubtful. All surgeons were involved in these cases and sometimes a named surgeon is preferred. Cure rates could not be assessed as most cases were followed-up abroad. Conclusions: Clinical presentations and histological types of thyroid cancer in north eastern Libya are not dissimilar from those in the world literature. Incidence rates can of thyroid cancer cannot be calculated assessed from this study. The results of this study should be confirmed by further studies with improved diagnostic facilities. The locally available facilities to manage cases of thyroid cancer are inadequate and there is an urgent need to improve them. OC5. TYPE 2 DIABETES IN CHILDREN AND ADOLESCENTS IN TRIPOLI, LIBYA. Ibtisam HADEED, Mohamed HWEIDI, Maha EL SHERIF, Milad DOUGHA and Suliman S. ABUSREWIL. Department of Paediatric Endocrinology, Tripoli, Medical Centre, Tripoli, Libya. dr abusrewil yahoo Backgrounds: Type 2 diabetes in children is an emotionally changing issue and an emerging public health problem. Traditionally type 2 Diabetes is a disease of adults, but in the last 2decades, it has been increasingly recognized in children and adolescents. Furthermore, as we are actually facing a constant growth in the prevalence of obesity in children and adolescents, type 2 diabetes will predictably be found more frequently in other population outside its classical high risk group. Objectives: We aimed to identify and characterize type 2 diabetes in Tripoli and the surrounding districts and to assess the outcome of treatment of type 2 diabetes in children and adolescents. Patients and methods: In this study we reviewed 343 children who were being diagnosed to have diabetes over the last 2 years 2005-2006 ; at the Department of Pediatric Endocrinology & Diabetes, Tripoli Medical Centre. Records were reviewed for age, sex, Body mass index BMI.
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