Endocrine Abstracts

Introduction: Benefit of general screening for concomitant autoimunne diseases in patients with chronic autoimunne thyroiditis (AIT) is serious problem from medical, even from economic point of view. Some authors advice for screening, some advert to mass occurence of AIT and warn about huge expenses. Situation vary from one country (region) to another.Aim: To assess incidence of celiac disease in patients with chronic autoimunne thyroiditis and find any ...

Goal: Study thyroid function in patients with acromegaly. Materials and method: 88 patients with acromegaly, age 54.6±13.2 years, mediana diagnosis acromegaly 4 years, IGF1 528 (265; 701.3 ng/ml, HG 10.4 (3.7; 30.1) μE/ml, only 12 patients had a remission of disease. All patients were taken TSH, fT4, TPO antibodies, revealed anamnesis of thyroid diseases.Results: 19 from 88 patients (21.6%) had hypothyreosis and 2 (2.3%) had subclini...

A 29 year old woman with multiply-relapsed Hodgkin’s lymphoma became amenorrhoeic with vasomotor menopausal symptoms following multiple cycles of chemotherapy. Subsequent biochemistry confirmed primary gonadal failure (LH 30.7 U/L, FSH 49.9 U/L, oestradiol <70 pmol/L). Following allogeneic bone marrow transplantation she developed severe haemolytic anaemia and thrombocytopenia. This was resistant to standard therapies, including methylprednisolone, mycophenolate mofet...

The National Diabetes Paediatric Audit Report (NDPAR) 2009–10 was published earlier this year. A total of 155 units submitted data to the report, representing an overall increase of 31 units since the 2008–9 audit. Whilst non-participation has been largely attributed to lack of resources and technical infrastructure, there are some concerns over the method of data collection and interpretation.Our unit entered the data by using the automatic ex...

Recurrent primary hyperparathyroidism (RPHPT) is defined as hypercalcemia occurring after 6 months of normocalcemia following initial operation. The aim of this study was to analyze our experience in RPHPT.Between 1980 and 2010 33 patients (1.2%) with primary hyperparathyroidism (HPT1) were reoperated in our tertiary referral centre for recurrence of disease: 24 adenomectomies, six subtotal parathyroidectomies, two total parathyroidectomies with autotran...

Introduction: Confirmation of permanent isolated growth hormone deficiency (IGHD) during childhood with subsequent adult transfer is important since such patients may benefit from adult GH replacement.Methods: A chance encounter with a former patient experiencing symptoms of adult GHD but untreated prompted us to review the final diagnosis and follow-up status of our GH-treated patients with IGHD between 1970 and 2000. Case records were examined for init...

Radioactive iodine is a common and effective treatment for hyperthyroidism. Post radio-iodine hypothyroidism is a frequent complication occurring in ~80% of radioiodine treated patients. This can be diagnosed clinically (by monitoring free T4 and TSH levels) but, in our centre, a 123I uptake scan 6 weeks after therapy is sometimes used to help predict the likelihood of future hypothyroidism. In these situations, thyroxine therapy can be started if radioio...

Generalised resistance to glucocorticoid is a rare familial or sporadic disease with partial target tissue insensitivity to glucocorticoids. Compensatory activation of the hypothalamo–pituitary–adrenal axis occurs with raised andrenocorticotrophic (ACTH) hormone levels and increased synthesis of adrenal steroids. The phenotype varies from asymptomatic to excess glucocorticoid, mineralocorticoid and androgenic effects.A 20-year-old female was fo...

Mutations in the melanocortin-4 receptor (MC4R) are the most common cause of monogenic obesity. The majority of MC4R mutations are predicted to cause the receptor to aberrantly fold. Misfolded MC4R fails to traffic to the plasma membrane (PM) and is retained in the endoplasmic reticulum (ER). Recent studies with other G-protein coupled receptors have shown that stabilisation of misfolded receptor, by pharmacological chaperones, promotes trafficking to the cell surface where th...

Obesity and excess adiposity may occur following treatment for childhood acute lymphoblastic leukaemia (ALL) even in those not administered cranial irradiation. Prior glucocorticoid treatment may be contributory as glucocorticoids have direct effects on fat mass (FM) and adipocytes. From 1997 to 2003 children treated for ALL in the UK were randomised to receive either prednisolone or dexamethasone.Objectives: In survivors of childhood ALL not treated wit...