Endocrine Abstracts

Purpose: The pathogenesis of idiopathic GH deficiency (GHD) in children, including possible cerebral metabolic alterations, remains unclear. The aim of the study was to evaluate the metabolic changes within the normal appearing brain in children with GHD using MR spectroscopy (MRS) and to correlate MRS measurements with hormonal concentrations.Materials and methods: 71 children with GHD (mean age 6.9 years) and 11 healthy controls (mean age 8.4 years) we...

Introduction: Thyroid disorders have significant impact on patients’ quality of life (QoL). ThyPRO is a thyroid-specific QoL questionnaire applicable to patients with benign thyroid disorders. There is substantial evidence for its clinical validity and reliability in patients with benign thyroid disorders. ThyPRO consists of 85 questions summarized in 13 scales, measuring aspects of QoL relevant to thyroid patients. Our aim was to develop a validated Polish version of thi...

Introduction: Thyroid cancer incidence has increased significantly during the past decades and is the most common type of endocrine malignancy. Suitable criteria for detecting malignant thyroid tumors are still missing. Therefore, the discovery of molecular markers linked to thyroid carcinogenesis will be helpful in the diagnosis of malignant tumors and managing their appropriate treatment.Aim: The objective of the study was to evaluate survivin expressi...

Background: Pubertal induction with incremental doses of oestrogen replacement is an important component of care offered to hypogonadal patients with Turner Syndrome (TS). Low dose oral ethinylestradiol (EE) has been extensively used in the UK but natural 17-β oestradiol (more physiological, cheaper and easily monitored in blood) is becoming increasingly popular. We undertook this audit to compare the efficacy and acceptability of oral (EE) and patch (Evorel) oestrogen pr...

Background: SAH is a significant cause of morbidity and mortality. Survivors report long term psychological distress, sleep disturbance, libido changes and fatigue. Previous studies describe an increased incidence of hypopituitarism.Hypothesis: Evaluation of psychological symptoms and clinical and radiological features of SAH could predict the incidence of hypopituitarism.Patients and Methods: 102 post-interventional SAH survivors ...

Anatomical proximity, common blood supply and variability of location of the parathyroid glands make them prone to damage in the course of thyroid gland surgery. Total thyroidectomy (TT) poses a greater risk of postsurgical hypoparathyroidism (hypoPT) than a unilateral lobectomy, and neck lymph nodes dissection is an established risk factor of HypoPT. HypoPT lasting longer than 6–12 months postoperatively is considered permanent. The mechanism responsible for the recover...

Introduction: Pregnancy in an acromegalic woman is rare and generally safe, but tumor expansion may occur. As this is a rare occurrence, little is known about the optimum management of such patients during pregnancy. We present the case of a woman with acromegaly treated with Lanreotide during pregnancyCase report: A 29-year-old woman with acromegaly underwent transsphenoidal resection of invasive pituitary macroadenoma in August 2014, without cure. In N...

Preoperative localization of the pathological parathyroid gland is critical in the clinical evaluation of patients with primary hyperparathyroidism (PHP) before surgical resection. Unfortunately, scintigraphy nor ultrasound-guided FNAB do not show enough accuracy in this respect, especially in patients with concurrent thyroid pathology.The aim of the investigation was to assess the usefulness of measurements of PTH concentration in FNAB washouts (PTH-FNA...

Introduction: There is only few data on metabolic syndrome occurrence in young patients with childhood-onset GH deficiency (CO-GHD), especially its partial form.Aim: The aim of this study was the assessment of the metabolic syndrome criteria (according to IDF 2007) occurrence in adolescents and young adults with CO-GHD and evaluation of their correlations with the degree of GH/IGF-1 axis function impairment.Subjects and methods: Th...

Background: Male hypogonadism is associated with reduction in bone mineral density (BMD). This study aimed to determine the epidemiology of low BMD in a clinic-based cohort of hypogonadal men.Methods: This was a retrospective, cross-sectional observational study of 152 patients (≥18 years with testosterone(T) ≤11 nmol/L) who were consequently reviewed in an endocrine clinic. Data was extracted from electronic patient records and included base...