Endocrine Abstracts

Background and Aims: Early glycoregulation disorders, impaired fasting glucose (IFG) and impaired glucose tolerance (IGT) are associated with metabolic syndrome (MS). The aim of this study is: (a) to analyze parameters of insulin sensitivity, glycoregulation, lipid status, microalbuminuria (MI) and homocysteine (HCY) in patients with obesity (I), IFG (II), IGT (III) and newly diagnosed DM type 2 (IV) patients; (b) to determine the percentage of metabolic syndrome at these pati...

Six years after hemorrhagic fever with renal syndrome (HFRS) 73 years old man was admitted in hospital because of hyponatremia (Na 129 mmol/l) and abdominal pain. Before HFRS he was treated for pancreatitis, hypertension, ulcerative colitis and gallstones. In the year 2002 he was admitted with fiver, vomiting, diarrhoea, headache and blurred vision. Serologic immunoflourescence testing was positive for Hantaan (Puumala) virus. During the hospital course haemodialysis was neces...

Introduction: Immune checkpoint inhibitors (ICIs) have revolutionized oncological treatment and substantially improved a prognosis for patients with advanced malignancy. ICIs inhibit the immunological pathways controlling T-cell activation or anergy. The most frequently used classes of ICIs are those that targeted and inhibit cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4), programmed cell death receptor 1 (PD-1) or its ligand PD-L1. The initiation of ICIs therapy is ofte...

Objective: In this study we analysed the prediabetes incidence in women with polycystic ovary syndrome (PCOS), as well as prediabetes and cardiovascular disease (CVD) risk factors in women with PCOS.Methods: This study included 148 women with PCOS, with no type 2 diabetes mellitus (T2DM) and CVD present at the baseline. We determined a comprehensive panel of biochemical parameters, including lipid profile, glucose and insulin levels during oral glucose t...

Introduction: Myotonic dystrophy type 1 (DMT1) is the most prevalent muscular dystrophy that affects 1 in 8000 individuals. Disease is caused by CTG repeat expansion of the DMPK gene located on chromosome 19. Beside neuromuscular involvement, studies have found an increased prevalence of endocrinopathies such as diabetes, hyperparathyroidism and hypogonadism. The exact underlying mechanism of endocrine dysfunction remains unclear. Moreover, endocrine dysfunction is progressive...

Introduction: 30% of the adult population has high blood pressure. About 6% of the hypertension may be caused by primary aldosteronism and very rare by primary hyperparathyroidism. The combination of these two causes is very rare.Case report: Our patient is women (age 50) with a 21 year long history of uncontrolled hypertension. Treatment of hypertension consist of a beta-blocker, calcium channel blockers, angiotensin converting enzyme inhibitor, loop di...

Introduction: Some patients develop excessive bone metabolism supression during antiresorptive therapy. Low remodelling rate enables increase in tissue mineralisation density and homogenicity of bone trabeculae. Increase in density makes micro-damage more likely. Increased homogenicity provides less resistance to spread of the micro-cracks and slowed remodelling slows down removal of microdemage. All this leads to increased bone fragility.Aim: To establi...

Background and aims: The distribution of arterial occlusive disease is not fully explained in diabetes. The aim of this study was to examine the prevalence of CHD and PAD in diabetic patients complicated by abnormal test of distal autonomic function (Neuropad®) and large fibre neuropathy.Materials and Methods: 237 patients were analysed, M/F 111/126, age (mean±SD) 61.3±9.5years (ys), diabetes duration 16.4±10.6ys., type 1 n=22 (9.3%),...

Many studies show insufficient and inadequate vitamin D and calcium levels in postmenopausal women with osteoporosis, thus emphasising the need for supplementation therapy.Aim of the study: To determine vitamin D (25(OH)D) and ionised calcium levels in women treated for postmenopausal osteoporosis at our Clinic in the course of year 2009.Materials and methods: We prospectively followed up 116 women at the age of 59.38±5.55 (mi...

Introduction: Autoimmune thyroid disease is often associated with other autoimmune diseases. Coeliac disease is one of those autoimmune diseases, together with is wide spectrum of intestinal and extraintestinal manifestations. Atrophy of intestinal mucosa, one of the characteristics of coeliac disease, among everything else, leads to poor absorption of l-tyroxine used in therapy of hypothyroidism.Aim and results: We like to present a clinical case of our...