Endocrine Abstracts

Introduction: Neurologic symptoms due to autoimmune encephalopathy related to autoimmune hyperthyroidism (AEAH) cases are very rare in childhood. The reason why hyperthyroidism causes this situation is still unknown. In this case we discussed the diagnosis, treatment and follow-up of a case with choreoathetosis in the review of literature.Case: 15 years old female admitted to hospital with the complaint of nervousness, discomfort for last 3 weeks. There ...

Background: Toxic thyroid nodules are difficult to manage medically. Surgical versus radioiodine therapy can be chosen in light of risk and benefit for individual cases.Clinical case: 72 years old woman presented with 3 months history of hands tremor. There was no associated palpitations, weight loss, sweating, diarrhoea or mood change. She reported mild tiredness. She had never noticed any lump or pain in her neck. There was history of cold intolerance ...

Case history: 80 year old male was referred to endocrine clinic for incidental hypercalcemia picked up on six monthly blood tests for follow up of treated carcinoma of prostate in remission. Patient himself complained only of mild mechanical backache and no other symptoms of hypercalcemia. There was no family history of thyroid or parathyroid related disorders. Drug history did not include thiazides or lithium. Investigations: serum calcium 2.75 mmol/l, ...

Case history: 20 year old man with a complex cardiac history of Shone’s syndrome, out of hospital cardiac arrest 2015 (CRT-D implant) and multiple previous episodes of fast atrial fibrillation was admitted to hospital (28/11/2019) with 3 weeks history of intermittent palpitations and shortness of breath. His regular medications included amiodarone and bisoprolol. Examination revealed a fine tremor of outstretched hands, no obvious goitre or thyroid eye disease. Thyroid functio...

Case History: 27 year old female was referred to endocrine clinic with complaints of excess hirsutism over face, chin and neck accompanied with oligomenorrhea and acne for three years. The hirsutism was worsening gradually and she had to shave or wax her facial hair on daily basis. She was born at full term and had menarche at 12 to 13 years of age with regular periods. She had no symptoms of galactorrhea, headache, visual problems or recent weight gain. There was no family hi...

Purpose: To determine the changes of the choroidal thickness (CT) in diabetes mellitus (DM) type 1 patients without clinical diabetic retinopathy (DR).Methods: We evaulated 50 patients with DM type 1 (50 eyes) and 50 healthy controls (50 eyes) in İzmir Military Hospital from January 2012, through January 2013. DR status was evaluated by indirect fundoscopy and included the study if they have no clinical diabetic retinopathy. Age, gender, duration s...

Objectives: Hypogonadism is associated with a higher risk of atherosclerosis and cardiovascular disease, but the mechanisms underlying this association are not yet fully understood. Increased oxidative stress has been associated with development of cardiovascular and cerebrovascular diseases. We aimed to determine serum PON1 activities, an established lipid antioxidant, MDA levels which are end products of lipid peroxidation induced by ROS and thiol groups as an antioxidant fo...

27 years old lady with recurrent Graves’ thyrotoxicosis for 5 years delivered her baby uneventfully and her thyrotoxicosis worsened 2 months after pregnancy when her FT4 bounced back up to 38 pmol/l (12–22) so her propylthiouracil (PTU) was increased from 200 to 400 mg. Despite of continuing high dose of PTU for few months she remained thyrotoxic and became neutropenic [Neutrophil 0.67×109 (2–7)], decision was made to proceed with thyroidectomy b...

History: 80 years old male was admitted in June 2016 with a head injury. His CT head showed small subarachnoid haemorrhage and shallow frontal subdural hematoma. He was managed conservatively as per advice from neurosurgical department and was discharged on 4th July. He was readmitted on 9th July suffering from confusion and found to have sodium of 114 which was 141 a week ago.Investigation: Investigations carried out to find the ca...

Differences in individuals’ eating habits affect adherence to diets and the weight management process. Identifying factors that influence the prevalence of obesity is crucial for addressing obesity-related health issues and implementing necessary preventive measures. This study aims to compare the changes in body composition resulting from medical nutrition therapy applied to individuals of Arab and Turkish origin seeking weight loss at a specialized clinic. Additionally,...