Searchable abstracts of presentations at key conferences in endocrinology

ea0070ep523 | Thyroid | ECE2020

Low TSH level and twin pregnancy. A case report

Kermaj Marjeta , Fureraj Thanas , Hoxha Violeta , Poshi Klodiana , Ylli Dorina , Hyka Besa , Zavalani Sara , Zaimi Irsa , Resuli Klotilda , Shkurti Adela , Ylli Agron

Introduction: Thyroid physiology changes during pregnancy so the use of pregnancy-specific reference ranges for TSH and FT4 in order to adequately diagnose gestational thyroid disease is necessary. According to literature, in twin pregnancy, TSH can be in low levels during first trimester due to a much higher and more sustained peak of hCG (TSH-like activity of human chorionic gonadotropin) but it will be normalized at the end of the second trimester or within 22 weeks. Hypere...

ea0016p759 | Thyroid | ECE2008

Some data about the epidemiology of thyroid cancer in Albania

Ylli Agron , Ylli Zamira , Lamcaj Entela , Olldashi Blertina , Shehu Medi , Furreraj Thanas , Husi Gerond , Celiku Edmond , Agolli Medi , Gjata Arben , Titka Vladimir , Nocka Albert , Karaj Agim

Introduction: Aim: the aim of our study was to give some data about the epidemiology of thyroid cancer in our country.Material and methods: We studied patients diagnosed with thyroid cancer during January 1998–October 2007.Results: We studied 179 patient from 13 to 80 years diagnosed with thyroid cancer during January 1998–October 2007. Median age at dignoses was: 46.2±14.7 years. According to the gender: females wer...

ea0081p769 | Late-Breaking | ECE2022

Coexistence of hypopituitarism caused by Sheehan′s syndrome and Hashimoto′s thyroiditis. A case report, review of literature.

Kermaj Marjeta , Zaimi Irsa , Guni Mirjeta , Shkurti Adela , Fureraj Thanas , Ylli Agron

Introduction: Hypopituitarism due to Sheehan′s syndrome is a rare complication and its diagnosis is often overlooked. The vast majority of people with hypothyroidism have primary hypothyroidism, often due to Hashimoto’s thyroiditis. Coexistence of hypopituitarism and primary hypothyroidism, may accelerate clinical manifestations, mainly those associated with hypothyroidism. Hashimoto′s Thyroiditis with concomitant hypopituitarism is rare but has been described...

ea0063ep36 | Diabetes, Obesity and Metabolism | ECE2019

Diabetic ketoacidosis

Hoxha Edlira , Hoxha Violeta , Husi Gerond , Fureraj Thanas , Celo Eni , Ylli Agron

Diabetic ketoacidosis is a well- known and a major acute complication of diabetes, mainly of the patients with type 1 diabetes. It is not uncommon in patients with type 2 diabetes. This situation is characterised by the presence of serum ketones greater than 5 mEq/l and ketonuria, a blood glucose level greater than 250 mg/dl, a blood PH less than 7.3 and a serum bicarbonate level of less than 18 mEq/l. There are different factors that cause ketoacidosis. DKA can be the initial...

ea0063ep157 | Thyroid | ECE2019

Thyroid storm, a rare but life-threatening appearance of hyperthyroidism

Lekbello Megi , Hoxha Violeta , Husi Gerond , Fureraj Thanas , Duva Ermira , Ylli Agron

Thyrotoxicosis is characterised by the excess of thyroid hormones into blood. The most extreme appearance of it, is thyroid storm which is presented as an acute, severe, life-threatening, hypermetabolic state caused by the added quantities of thyroid hormones, causing adrenergic hyperactivity and abnormal periphery response of thyroid hormones. The incidence of thyroid storm is evaluated at 0.2/100000 in year. The mortality of untreated thyroid storm varies from 80–100% w...

ea0049ep2 | Adrenal cortex (to include Cushing's) | ECE2017

The correlation of salivary cortisol values with serum cortisol values

Dyrmishi Blertina , Olldashi Taulant , Lumi Ema , Puca Entela , Kolici Emirvina , Ylli Dorina , Fureraj Thanas

Aim: The aim of the study was to evaluate the correlation between salivary and serum cortisol values to the healthy people and patients with Cushing’s syndrome.Methods: 33 cases: 21 healthy people aged 22 to 53 years old; 12 patients with Cushing’s syndrome values were included to our study. All the participiants of control group were healthy without known disease. Two samples of salivary and serum cortisol was taken to all the participiants of...

ea0049ep1370 | Thyroid (non-cancer) | ECE2017

The role of preoperative serum thyroglobulin values in the diagnosis of differentiated thyroid cancer

Dyrmishi Blertina , Olldashi Taulant , Lumi Ema , Puca Entela , Ylli Dorina , Ikonomi Majlinda , Fureraj Thanas

Introduction: Thyroglobulin (TG) is the most important protein produced by the thyroid. TG is considered a reliable marker of recurrent disease in patient with differentiated thyroid carcinoma (DTC). Before surgery, high serum TG values may be due to an abnormally large thyroid, excessive thyroid stimulation, or physical damage to thyroid etc.Methods: We evaluated in the retrospective study 20 patients (mean age 49.6±12 S.D., range fr...

ea0041ep79 | Adrenal cortex (to include Cushing's) | ECE2016

Large bilateral adrenal metastatic melanoma

Dyrmishi Blertina , Olldashi Taulant , Rista Elvana , Hoxha Eneida , Puca Entela , Fureraj Thanas , Ylli Agron

Background: Adrenal metastatic melanoma can be found in up to 50% of patients with melanomas. These tumors are not hormone-secreting, and they usually present with locally advanced disease.The case: We report on the presence of a bilateral massive metastatic adrenal melanoma in a 56-year old woman with the initial clinical diagnosis of bilateral adrenal cyst or hemorrhage, and chronic adrenal failure. The patient underwent surgery one month before the ad...

ea0041ep526 | Diabetes complications | ECE2016

Diabetic muscle infarction in a 54-year-old female: a case report

Lumi Ema , Puca Entela , Dyrmishi Blertina , Bitri Sonila , Puca Edmond , Pengo Petrika , Ylli Agron

Introduction: Diabetic muscle infarction is a very uncommon complication of diabetes and predominately occurs in type 1 diabetes (70% of cases) or long standing poorly controlled type 2 diabetic patients, often misdiagnosed as cellulitis. It is defined as spontaneous ischemic necrosis of skeletal muscle that is unrelated to atheroembolism or occlusion of major arteries.Case presentation: We report a case of 54-years-old women non-smoker with an 8 years h...

ea0041ep1075 | Thyroid (non-cancer) | ECE2016

Toxic adenoma as a cause of dementia

Dyrmishi Blertina , Olldashi Taulant , Ranxha Eris , Fureraj Thanas , Ylli Agron , Puca Entela

Background: Psychiatric symptoms have been reported quite frequently in thyroid disease. Dementia associated with hyperthyroidism is less well documented.The case: We present the case of a 62 years old woman, who initially presented for a neurological consultation about her symptoms suggested Alzheimer’s disease. The patient had been under treatment for more than seven years for type 2 diabetes and developed frequently episodes of hypoglycemia. She ...