Endocrine Abstracts

Introduction: Central pontine myelinolysis (CPM) is a rare and potentially life-threatening complication of a sudden rise in serum osmolality. Along with extrapontine myelinolysis, it is part of the osmotic demyelination syndrome (ODS). Known risk factors include severe hyponatremia, alcoholism, thiazide use, hypokalemia, and malnourishment.Case report: We report the case of a 31-year-old-male with history of alcohol and cannabis dependence, who had atte...

Central pontine myelinolysis (CPM) is a neurological disorder typically caused by rapid correction of severe chronic hyponatremia. Conditions causing a hyperosmolar state can also cause CPM, but it is rarely seen in diabetes. We report the case of a 33-year-old woman with personal history of Type 1 Diabetes since she was 9 years old with very poor metabolic control (A1hbC 15%) and microvascular complications, who attended the emergency department due to left hemicranial headac...

Follicular thyroid carcinoma (FTC) is the second most common type of thyroid cancer, making up about 10 to up to 15% of all thyroid cancers. It is called a ‘well differentiated’ thyroid carcinoma, like papillary thyroid cancer, but it is typically more aggressive than this. We report the case of a 75-year-old man with personal history of Type 1 Diabetes since he was 25 years old, with severe nonproliferative diabetic retinopathy (blindness) and multinodular goiter. I...

Introduction: Diabetes mellitus is the most common chronic disease in children, with type 1 diabetes accounting for 80% of diabetic patients under the age of 19 years. Though hyperglycemia in pediatric patients with diabetes mellitus commonly occurs due to poor adherence to insulin therapy, other etiologies should be considered when hyperglycemia is refractory and additional systemic signs and symptoms are present. We discuss a case of a female patient presenting with signs an...

Introduction: Thyroid nodule is a frequent condition, being diagnosed in up to 70% of subjects who had undergone thyroid ultrasound. Around 90-95% of them became being benign and, if the do not cause compressive symptoms or esthetical problems, they do not need specific therapy, only clinical follow up. Traditionally, thyroidectomy has been the main therapeutic option in these cases. Radiofrequency and ethanol ablations are recently introduced non-invasive therapies that permi...

Pituitary adenomas (PAs) account for 15-20% of intracranial tumors. PA with a cystic component are characterized in the MRI by a sellar, symmetrical, round or ovoid mass that enhances on T1- or T2-weighted images but does not concentrate gadolinium. We present the case of a 48-year-old man who in a headache study by Neurology requested a CT scan showing a cystic pituitary macroadenoma of 1.25cm confirmed by pituitary MRI. In the initial analysis, the pituitary function was pre...

Introduction: The development of immunotherapy has opened up a new approach in the management of different types of tumors that previously had not treatment, and its use is becoming increasingly widespread. Immunotherapy is based on blocking immune checkpoints involved in activating the immune response to malignant neoplasms. Since its introduction into clinical practice, several adverse effects related to the immune system have been reported. Among the endocrinological advers...