Endocrine Abstracts

Introduction: As the incidence of pediatric obesity is gaining pandemic levels, with children and teenagers developing obesity complications similar to the adult population, a rapid evaluation and treatment is necessary. We present such a case.Case reportA 12-year-old male with a medical history of binge eating, treated by Topiramate, since the age of 11 and 3rd degree obesity, complicated with JNC stage II hypertension, NASH and dyslipidemia was referred to our clinic for nut...

IntroductionAs the incidence of pediatric obesity is increasing, so is the incidence of metabolic syndrome in the pediatric population. We present the management of 3 such cases.Case reportThree 14 (D.D), 15 (C.A.), 16 (C.M) year-old males presented for weight and metabolic management.DD had a medical history weight gain since 2 years old, obesity, dyslipidemia, hyperuricemia. C.A., obese since 2018, with hyp...

Introduction: Obesity and vitamin D deficit are risk factors for inflammation, insulin resistance, hypertension and impeded bone mineralization and also cardiovascular disease. type 2 diabetes and osteoporosis. As globally both conditions reach pandemic levels and the level of vitamin D negatively correlates with obesity we studied this correlation and impact on a group of children suffering from obesity.Materials and method: We conducted a retrospective...

Introduction: We report a case of papillary thyroid carcinoma recurrence. According to most of the guidelines, patients with PTC have recurrences in the first 5 years after diagnosis and the most rigorous follow-up is indicated in this time; however metastasis are reported beyond this period and are associated mostly with lack of adherence to follow-up.Case report: A 76-year-old female was admitted in our department for the evaluation of a 5 cm laterocer...

Background: Primary hyperparathyroidism is usually a long evolving disease before the diagnosis, thus patients who are not diagnosed by routine screening tests may have a lot of complications affecting the bone, kidney, bone marrow.Aim: Pointing out the possibility of fast recovery not only for bone mass.Material: We present a case of primary hyperparathyroidism, a female patient 66 years old, sent to emergency room, dehydrated, as...

Introduction: We report a case of severe osteoporosis with incident fragility fractures during antiresorbtive therapy in the presence of amiodarone induced hypothyroidism.Case report: A 76 year old female was admitted in our department for the evaluation of antiresorbtive therapy in the context of a recent rib fracture after coughing. Severe osteoporosis (lumbar T-score: −2.8DS, femoral neck T-score: −2.9DS with multiple fra...

Introduction: As the incidence of thyroid cancer is increasing, so are the cases of recurrence with RAI refractory metastasis of thyroid differentiated cancer. We present such a caseCase report: A 77-year-old female with a medical history of papillary thyroid carcinoma recurrence 10 years after surgery with successful 3 RAI sessions and normal thyroid cancer markers after treatment until her recurrence a year ago, with TSH unstimulated thyroglobulin of 1...

Introduction: We report a case of adrenal tumor recurrence after bilateral adenomectomy for Cushing’s syndrome.Case report: A 44-year-old female diagnosed in June 2014 with Cushing’s syndrome caused by bilateral adrenocortical tumors, which were identified by an abdominal CT (right tumor-2.6/ 2/1.8 cm, left tumor-3/2/2 cm). At presentation, the patient had typical signs and symptoms of hypercortisolism and complications such as: arterial hypert...

Introduction: Papillary thyroid carcinoma is well known as a differentiated thyroid carcinoma with an established treatment protocol and high survival rates. Poorly differentiated thyroid carcinoma, or anaplastic, is highly aggressive, manifesting with local invasion, recurrence, and distant metastasis; it is well known that these two entities may be connected as a process of dedifferentiation, most commonly met in elderly people with a long term standing untreated well differ...

Introduction: We report a case of a pituitary insufficiency apparently resistant to treatment.Case report: A 74 year old patient was admitted through the ER in our department for a recently discovered pituitary macroadenoma. His general condition was poor in spite of the initiation of corticotherapy. Evaluation: Smoker, with no significant medical history, the BP: 100/60 mmHg, no orthostatic hypotension, disoriented, confused, with moderately altered gen...