Endocrine Abstracts

Introduction: Several studies have shown a reduced quality of life (QoL) in patients with Addison’s disease (AD). However, by now there are no data investigating the changes of QoL over a long-term course. Adrenal crises (AC) are frequent and potentially life-threatening complications in patients with AD. Since no reliable laboratory indicator can predict impending crises it is difficult to detect patients at increased risk. The purpose of this study was to test whether t...

Introduction: The prevalence of vitamin D deficiency is higher in obese individuals but it is unclear whether vitamin D deficiency impacts body composition or if body composition impacts the vitamin D status. The research regarding vitamin D supplementation and weight loss in obese individuals is ambiguous. One hypothesis for the presumed fat reductive effect of vitamin D is that vitamin D inhibits adipocyte differentiation.Aim: To investigate if treatme...

The case: The multiplex endocrine neoplasia 2A (MEN2A) syndrome is a monogenic disease caused by mutation of the RET protooncogene leading to medullary thyroid cancer (MTC), pheochromocytoma and primary hyperparathyroidism. The specific mutations determine the timing of the preventive thyroidectomy. In 2007, in a 26 year old female patient, after detailed endocrine investigation, total thyroidectomy with both sided lateral neck lymph node dissection was performed because of su...

Introduction: More than half of osteopenic patients suffer from fracture (Fx), but BMD osteopenia is usually not considered for treatment initiation. FRAX, tool that can identify patients with high Fx risk based on major risk factors, can be used as an interventional threshold. Past few years, trabecular bone score (TBS), the bone quality determinant, is a promising method identifying the high-risk patients according to degradation of trabecular bone.Obj...

Introduction: Despite more than 60 years’ experience with radioactive iodine 131I (RAI) treatment of Graves’ disease (GD) about the most appropriate dosing regime is still controversial. The objective of our research was to analyse the outcome of RAI therapy in our cohort of patients.Methods: Retrospectively, we analysed 603 patients with GD (500 women and 103 men, mean age 51.5±12.7 years) treated with RAI. According to recomme...

The neuroendocrine tumor of thymus (TNET) is an extremely rare disease. It can occur sporadically or as a part of the multiple endocrine neoplasia (MEN1) syndrome. TNET may secret hormons (ectopic ACTH production). It is a potentially malignant tumor which often develops distant metastases. Its prognostic factors are the tumor size, histological grade, Ki67 index, paraneoplastic symptoms, surgical resection and Masaoka staging. The options for treatment are radical surgery, ch...

Background: TSH-suppressive therapy in patients with differentiated thyroid carcinoma (DTC) leads to iatrogenic thyrotoxicosis and may be associated with alterations in body composition and bone mineral density (BMD). Its effects on a sarcopenia in elderly have not been in detail investigated.Objective: The objective was to compare changes in total and areal lean body mass (LBM), body fat mass (BFM) and BMD in postmenopausal female patients with DTC duri...

Radioiodine (131I, RAI) has traditionally been used in thyroid cancer treatment but its benefitshould be balanced against possible risks. Among them, salivary gland dysfunction has oftenbeen discussed, although the reported data have been inconsistent. While some authors reported functional changes following higher (mostly cumulative) activities, there have been scarce data on the activity of 3.7 GBq (100 mCi) that is most commonly used for RAI remnant ablation...

Introduction: The estimation of urinary aldosterone is one of the recommended confirmatory tests when diagnosing primary aldosteronism (PA). The study assessed the interpretation of the urinary aldosterone secretion (UA).Subjects and methods:: The study enrolled both healthy volunteers and patients with suspected PA. Estimation of UA in 24-hour urine specimen was performed in enrolled individuals. Increased oral salt intake was recommended before and dur...

A 55 year-old man was brought to the emergency room because of hypotension, fatigue, fever and pain in the left shoulder. The blood glucose, sodium, potassium levels were normal. ECG showed 65/min sinus rhythm with negative T waves in the precordial leads. Blood pressure was 70/50 mmHg. Suddenly torsade des pointes occurred, which was converted to sinus rhythm with 300 mg amiodarone. Coronarography showed no significant stenosis on epicardial coronaries. During the interventio...