Background: Eating disorders (EDs) are a group of mental diseases marked by disrupted eating behaviors, and are associated with several factors. Medical students are highly exposed to this mental disorder with a prevalence of 17.35% in 2022.Objective: To evaluate the risk of EDs and its associated factors among medical students in the Middle East and North Africa (MENA) region.Methods: A web‐based cross‐sectional study was conducted among medical students in the MENA region during the months of June and July 2024. The primary data collection instrument was a comprehensive questionnaire that contained the Eating Attitudes Test (EAT‐26) and sociodemographic and clinical features and designed using Google Forms and distributed via social media platforms.Results: The total number of participants was 5061. The mean age in our population was 22.58 ± 3.27. Our population's average EAT‐26 score was 13.87 ± 10.7, with ranges varying from 0 to 72. Based on their EAT‐26 scores being 20 or above, 1254 people (24.8%) were deemed to be at risk of EDs. Among the participants, 8% were underweight. The multivariable logistic regression model revealed several eating disorder risk factors such as T1DM, schizophrenia, autism, female gender, IBD, and daily exposure to thin body ideal. Regular sports practice and weight satisfaction were protective factors.Conclusion: There exists a higher prevalence of individuals at risk for the development of EDs in the MENA region especially females, students with comorbidities, and those having conflictual relationships with their parents. Regular sports practice and weight satisfaction are protective factors.

Background: Migraine is a prevalent and debilitating neurological condition that significantly impact the academic lives of university students. Despite its high prevalence, migraine is often underreported, underdiagnosed, and inadequately managed particularly in the Middle East and North Africa (MENA) region. Objective: This study aimed to determine the prevalence of migraine identified by screening, related disability, and psychological comorbidities among university students in the MENA region. Methods: We conducted a multinational cross-sectional study among university students in 11 low and middle-income countries in the MENA region, using an anonymous self-administered questionnaire. The convenience and snowball sampling methods were used. This study utilized a validated questionnaire to collect data on migraine frequency, characteristics, disability, associated depression, anxiety, and triggers. Results: The present study screened a total of 5,954 students for migraine. Of them, 26.1% screened positive for migraine. Iraq had the highest prevalence 38.9%, followed by Algeria 31.5%, and the lowest was in Egypt 19.9% and Morocco 18.4%. Common migraine triggers included sleeping disturbances 59.7%, noise 47.4%, and sun exposure 45.6%. Among positive cases, 23.2% had severe disability, 29.9% had moderate anxiety, and 72.5% had severe depression. The main predictors of migraine were females, older age, and non-medical field university students. Adequate hydration, sufficient sleep, regular physical activity, higher fluid intake, and extended study hours were associated with a lower risk of migraine. Daily caffeine consumption was associated with increased migraine risk. A modest negative relationship was found between academic success and migraine disability score. Conclusion: Our results demonstrated a high proportion of students screened positive for migraine with significant associations to depression, anxiety, and disability. These findings highlight the need for targeted interventions to increase awareness about migraine-related comorbidities, screening programs to help in early detection, and lifestyle modification. Universities should develop and implement coping strategies to support affected students.

We report a rare case of Insulin Autoimmune Syndrome in a 35-year-old woman with prior autoimmune features who developed hypoglycemia after an allergic reaction. Diagnosis was confirmed by insulin autoantibodies. Immunosuppressive therapy yielded significant improvement. This case suggests a broader autoimmune process may underlie seemingly isolated IAS presentations.

A pericardial hydatid cyst (HC) is a rare manifestation of echinococcosis that can present with various clinical features. Management planning depends on the symptoms, involvement, and anatomical features of the HC. Some cases have reported total management with medical management with Albendazole or Mebendazole, while for the vast majority of cases, surgical intervention is needed.

Parvovirus B-19 (B19-PV) infection is usually a self-limiting illness that occurs in children, although there have been reported cases affecting older people and presenting with a wide range of symptoms, especially neurological ones. The diagnosis can be tricky and can cost time; therefore, knowledge of this infectious etiology and how it manifests can aid physicians in prompt and timely diagnosis, as time is vital in such cases in order to preserve organ functions and prevent life-threatening complications. Herein, we report Parvovirus B19-associated clinical features and workup in a series of five patients with laboratory-confirmed B19-PV from 2024 to 2025, which, to our knowledge, is the first case series in the West Bank of Palestine. The mean age of our population was 60.5 years, with a sex ratio (male: female) of 3:2, though of note, males were all above 60 and all females were under 50, mainly presenting with neurological manifestations.