Endocrine Abstracts

Objective: To learn characteristics of biochemical markers of bone metabolism, parameters of bone mineral density (BMD) and fat component of body composition for early diagnosis of bone disorders in children with primary nephrotic syndrome (NS).Material and methods: We compared data of laboratory investigations (phosphorus (P), total calcium (Ca), parathyroid hormone (PTH), and alkaline phosphatase (ALP)), protocols of dual-energy X-ray absorbtiometry of...

Background: The pathophysiological base of metabolic syndrome is insulin resistance. According to Scott E.M., Grant P.J., insulin resistance is supposed to be formed during the evolution and connected by circadian rhythms. Melatonin is synchronizer of circadian rhythms. The modern lifestyle leads to the breach of melatonin synthesis because of absence of season changes in the length of a light day due to the using of artificial lighting.Aim: The aim was ...

Objective: to assess the effects of associated autoimmune diseases on diabetes control, growth, lipid profile in children with type 1 diabetes mellitus (T1DM) and to determine the most predictive genetic, immune and metabolic risk factors of polyglandular autoimmunity in children with T1DM.Material and Methods: 89 children with combined autoimmune pathology (main group, age 11.82 ± 3.68 years) and 100 patients with isolated T1DM (control group, age ...

ObjectiveTo determine predictive factors of co-existing autoimmunity in children with type 1 diabetes mellitus (T1D).Material and methods64 children with combined autoimmune pathology (T1D and autoimmune thyroid diseases or celiac disease) - main group, age 12.14±3.54 years) and 81 patients with only T1D (comparison group, age 11.57±3.34 years) were recruited. Groups were comparable in age (P</e...

It is well known that subclinical hypothyroidism (SH) more often can be revealed in patients with heart ischemic disease (HID). Mild thyroid failure can cause decrease of catabolism at atherogenic lipoproteins, decrease of cardiac output and diastolic disfunction of left ventricle. Results of coronarography (CG) can reliable reflect the severity of coronary atherosclerosis. It seems to us very important to compare the results of CG with TSH level and lipoproteins in heart isch...

Introduction: The incidence of adrenal incidentalomas is 5% among patients undergoing radiological imaging. Differential diagnosis is extremely important, as it determines the tactics of both therapeutic treatment and surgical intervention. Currently, algorithms for the differential diagnosis of adrenal masses have been developed and are widely used. Nevertheless, the compliance with strictly regulated diagnostic protocols does not always allow to make an accurate diagnosis.</...

Introduction: Cushing’s syndrome describes symptoms associated with prolonged exposure to inappropriately high levels of cortisol. It may be increased as a result of high ACTH production in the pituitary gland or from tumours outside pituitary–adrenal system.Case report: Patient 34 years old was hospitalised with complaints of muscle weakness, shooting-pain in thoracic, lumbar spine, decreased height, amenorrhea, arterial hypertension and chang...

Introduction: Prevalence of CS without specific signs is thought to be high, which might be an indication for its general screening. However, conclusive data about its diagnostics is absent.Design: 189 overweight patients were studied. Nobody had clinical evidence of hypercortisolism. Diagnostic of CS was 1-mg overnight dexamethasone suppression test (1-mg DST; cut off 50 nmol/l) as a screening; midnight plasma cortisol (MPC) (<207 nmol/l) and 24-h u...

Introduction: Lipohypertrophy (LH) is a chronic complication of diabetes mellitus that could develop in any age, any injection site, and be any size. At present time, new method, as ultrasonography of subcutaneous fat, of LH diagnostics were appeared.Design: The aim of this study has been to estimate efficiency of insulinotherapy in diabetic patients after LH was diagnosed by ultrasonography. This study was done on 50 diabetic patients (31 females and 19...

Introduction: Prevalence of so-called diabetes prone to ketosis (DPK), has been increasing. The necessity of lifelong insulinotherapy is determined by Aβ classification of DPK.Design: Seven patients with atypical course of T2DM were studied. All patients had gradual development of hyperglycemia, obesity 1–2 stages, and acetonuria. Noone had acute weight loss. Stage 3 had positive GAD-AB, stage 4 – negative. Initially all patients were trea...