Endocrine Abstracts

Background: Only 10 cases of Grave’s disease coexistencing with a TSH-secreting pituitary adenoma (TSHoma) have been reported to date. We present a patient with a TSHoma identified based on the biochemical pattern developing while on treatment with anti-thyroid medications initiated after establishing the diagnosis Grave’s disease.Case report: A 44-year-old Caucasian lady presented with unintentional weight loss. Physical examination revealed d...

Background: Higher prevalence of type 2 Diabetes Mellitus (DM II) has been reported in patients with SMI (serious mental illness). SMI patients get suboptimal diabetes care as compare to non- SMI patients.Methods: We tested the hypothesis that SMI patients get suboptimal diabetes care as compare to non- SMI patients. We did a retrospective cohort study in an academic, primary care clinic for underserved,urban population.SMI patients included schizophreni...

Introduction: Amyloid goiter (AG) may be associated with either primary amyloidosis (deposit of amyloid protein AL) or secondary amyloidosis (deposit of amyloid protein AL) in chronic inflammatory diseases including tuberculosis, cystic fibrosis, ulcerative colitis, ankylosing spondylitis and familial Mediterranean fever. To our knowledge, this is the first case of AG concomitant with PTC in a patient with HIV infection.Case presentation: 67-year-old mal...

Objective: Diabetic mastopathy (DMP) is an uncommon fibrous disease of the breast, most commonly found in premenopausal women with type 1 diabetes exposed to long-standing insulin therapy. Often mimicking breast cancer clinically and on imaging, this condition poses a diagnostic challenge requiring pathological confirmation.Case presentation: A 68-year-old woman with type 1 DM and a family history of breast cancer in paternal aunt had an abnormal screeni...

Here we present a case of follicular thyroid cancer with elevation of thyroglobulin (Tg, in ng/ml) detected almost 10 years after initial surgery and radioactive iodine therapy (RAI). The elevated Tg persisted for years before he was found to have a metastasis in his kidney 16 years after his initial cancer treatment. A 78 year old male had a total thyroidectomy followed by RAI therapy in 2001 for a 2.4 cm follicular thyroid cancer. His Tg became mildly elevated in 2009, and c...