Endocrine Abstracts

Introduction: Poor metabolic control in type 1 diabetes mellitus (T1DM) is associated with micro and macrovascular complications. The implementation of interstitial glucose monitoring systems has contributed to the improvement of glycemic control in recent years.Objectives: Our main objective was to analyze the results of implementing flash glucose monitoring (FGM) devices after 1 year, and see if it managed to improve glycemic control in our patients.</...

Introduction: Thyroid cancer is the most common endocrine malignancy, and its incidence is increasing worldwide.Objective: Our aim is to look at the prevalence of ultrasound features and FNA findings of nodules in patients operated on for thyroid cancer in our hospital.Material and methods: Cross-sectional observational study of patients operated on for thyroid cancer at the Regional University Hospital between 2018-2021, we collec...

Objective: Recent reports have suggested that air pollution may impact thyroid function, although the evidence is still scarce and inconclusive. In this study we evaluated the association of exposure to air pollutants to thyroid function parameters in a nationwide sample representative of the adult population of Spain.Methods: The [email protected] study is a national, cross-sectional, population-based survey which was conducted in 2008-2010 using a random clust...

Introduction: Medullary thyroid cancer is a rare neoplasm, accounting for approximately 4% of all cases of thyroid cancer. Exceptionally, it can be associated with the hormonal production of ACTH or CRH, causing ectopic Cushing’s syndrome.Clinical Case: We present the case of a 43-year-old man who, as a history of interest, presented a T6-T8 vertebral body fracture 2 years ago and a right hip fracture 1 year ago. Bone densitometry is compatible with...

Introduction: Morbid obesity is a highly prevalent disease, with bariatric surgery being a fundamental pillar in its treatment.Objectives: To analyze the results of weight loss at 5 years in patients operated by gastric bypass and sleeve at the Regional University Hospital of Malaga.Methods: This is a retrospective observational study, where 104 patients with morbid obesity who underwent bariatric surgery at the Regional University...

Introduction: Primary adrenal carcinoma is a very rare pathology, its treatment is fundamentally surgical and adjuvant treatment with mitotane can prevent recurrences. The prognosis varies depending on the patient, the stage and the histopathological diagnosis. We present the case mix of patients diagnosed with adrenal cortex carcinoma in our center between 2012-2022 and review the management of this pathology.Patients and Methods: Retrospective study on...

We present the case of a 41-year-old man with a history of testicular seminoma treated with surgery and chemotherapy, and post-chemotherapy chronic kidney disease. He was initially referred to Otolaryngology for a 1-month history of neck mass sensation, with associated dysphonia, dysphagia and dyspnea. On examination, thyroid gland was enlarged. Fibroscopy was performed in consultation, revealing paralysis of the left vocal cord. The patient was referred to Endocrinology and S...

Introduction: Evidence suggests that, for the same mean glucose level, protein glycation may be different and that this may have an impact on the occurrence of complications. We currently have GMI that estimates mean glucose measured with the FreeStyle Libre 2 and HbA1c determined in the laboratory.Objectives: To analyse the proportion of “rapid glycaemic” patients in our clinical setting (HbA1c-GMI>0.5) and to assess the prevalence of micr...

Introduction: For the past three years, patients with type 1 diabetes have been treated with basal-bolus therapy at the Axarquia Hospital by doctors from the Clinical Management Unit of Endocrinology and Nutrition at the Malaga Regional University Hospital. Treating patients in their own health area avoids travel and could have an impact on better follow-up, metabolic control, and the incidence of complications. The aim of this study is to describe the socio-demographic and cl...

We present the case of a 68-year-old man from Ireland with a history of neurofibromatosis type 1, diagnosed in 2000, who underwent surgery for a right pheochromocytoma in 2005. He was recently admitted to hospital for acute cholecystitis, which was treated conservatively with antibiotics. During his hospitalisation, an abdominal CT scan revealed a 1.8 cm lesion in the uncinate process of the pancreas compatible with a neuroendocrine tumor (NET). In addition, multiple lesions w...