Endocrine Abstracts

A 32 year old emirati patient is evaluated in the endocrine clinic because of symptoms of hypogonadism in the form of reduced sexual desire and erectile dysfunction. On further history taking he confenssed that he was abusing anabolic steroids over the last 3 years but has stopped 3 months prior to his evaluation. On physical exam he appears musculinized, his BMI is 27 kg/m2. He has acne on his face. Testicular size is around 15 ml bilateral. Has ...

A 32 year old emirati patient is evaluated in the endocrine clinic because of symptoms of hypogonadism in the form of reduced sexual desire and erectile dysfunction. On further history taking he confenssed that he was abusing anabolic steroids over the last 3 years but has stopped 3 months prior to his evaluation. On physical exam he appears musculinized, his BMI is 27 kg/m2. He has acne on his face. Testicular size is around 15 ml bilateral. Has ...

Primary adrenal lymphoma is an extremely rare type of lymphoma. There have been only about 200 cases described in the literature so far. About a half of patients can present with adrenal insufficiency. We report a case of a 70- year-old previously fit and well patient referred to Endocrinology services after a CT scan of her adrenal showed bilateral adrenal masses right measuring 6 cm and left measuring 9 cm. CT was performed as she complained of 9 kilograms weight loss in las...

Adrenal Leiomyomas are very rare tumours. 20 cases have been reported to date. Their management remains difficult and challenging. They tend to present with flank or abdominal pain and have very little biochemical activity, if any.Case presentation: We present a case of a young 44 year old female. She was referred to Endocrinology services with a history of 2 weeks abdominal pain. She underwent an ultrasound organised in primary care which was suspicious...

Nonalcoholic fatty liver disorder is common among diabetics. Few studies have shown that there is association between type of diabetes treatment and prevalence of NAFLD.Materials and methods: The prevalence of NAFLD has been evaluated in 236 diabetic patients and the association between type of diabetes treatment and NAFLD was surveyed.Results: Patients of 63.3% were female. Average age was 50.83±11.21 years. Average weight wa...

Introduction: The World Health Organisation (WHO) states that in an iodine sufficient population <3% of neonatal TSH values will exceed 5 mU/l. In Belgium and Wales 2.6 and 1.5% of values were above 5 mU/l respectively.Methods: Neonatal TSH (neoTSH) levels (AutoDELFIA fluoroimmunoassay, 2006–2013, Scotland) were analysed for prevalence of high value according to cut-off, season and feeding mode (IBM SPSS 22).Results: Out o...

Introduction: In the management of patients with differentiated thyroid carcinoma, serum thyroglobulin levels are often well correlated with whole-body radioiodine scanning (WBS) results. However, occasionally, a mismatched result – increased thyroglobulin with negative WBS – is observed. Radioiodine therapy has been suggested as a therapeutic choice with controversial results.Method: We studied 32 differentiated thyroid carcinoma patients with...

At the present time, the most widely accepted tool for follow-up management of differentiated thyroid cancer (DTC) patients consists of serum thyroglobulin (Tg) measurement. It is not uncommon to measure the serum Tg level while the patient taking thyroid hormones (on-treatment Tg measurement). The purpose of the study was to evaluate the accuracy of on-treatment measurement of serum Tg in detecting remnant/recurrent or metastatic disease in high risk DTC patients. Patients an...

Introduction: In the management of patients with differentiated thyroid carcinoma (DTC), serum thyroglobulin (Tg) levels are often well correlated with whole-body radio-iodine scanning (WBS) results. However, occasionally a mismatched result, increased Tg with negative WBS, is encountered. High doses of radio-iodine (RAI) have been suggested as a therapeutic choice with controversial results. Our aim was to evaluate the therapeutic benefit of this approach.<p class="abstex...

Introduction: Exogenous insulin antibodies syndrome (EIAS) is a clinical syndrome associated with insulin antibodies induced by exogenous insulin in diabetic patients. It represents a rare cause of hyperinsulinemic hypoglycemia and glycemic instability. The management of EIAS remains a challenge. Case presentation: We present the case of a 12-year-old female with type 1 diabetes for 6 years treated with insulin analogues (Glrargen and Aspart). She experi...