Endocrine Abstracts

Introduction: De Quervain’s Thyroiditis (DQT) is a self-restriction inflammatory disease of the thyroid gland that presents severe pain localized in the neck. But few cases of a painful variant of Hashimoto’s thyroiditis (HT) have been described as well. Thyroid ultrasound (US) may reveal in homogeneous hypoechoic pattern in both conditions.Case: A 51-year old woman was admitted to the Hospital of Lithuanian University of Health Sciences, Kauno...

Recently we described clinical case of 38-year-old fertile woman with sudden onset of a multiple clinical symptoms: weight gain, secondary amenorrhea, hirsutism and seizures. Adrenal tumour co-secreted high amounts of DHEA sulfate, testosterone (T) and aldosterone (A) (Matulevicius et al. 2014). The symptoms of the disease disappeared after laparoscopic removal of adrenal tumour, which proved to be an adrenocortical oncocytoma. A hypersecretion of A remained after res...

Adrenal incidentaloma is adrenal tumor incidentally discovered in the region of adrenals, usually investigating for non-endocrine disease.We attempted to find out the current situation of adrenal incidentaloma in Lithuania.The object of research – patients who visited the Lithuanian University of Health Sciences, Kaunas Clinic's Clinic of Endocrinology and Vilnius Endocrinology Center for suspected adrenal pathology in 2007–2011. The total numb...

Sexual dysfunction of type 1 diabetic (T1D) men is an area that has been rarely investigated until now. Investigation of reproductive health of young men was performed in Nordic and Baltic countries in 2003/2004 (‘The Reproductive function of Estonian, Latvian and Lithuanian young men’ (ELLY)) but analysis of sexual function was out of the target of the study. In this study we invited those presumably healthy men to participate as controls for investigation of T1D me...

Introduction: Androgen secreting adrenal tumours are rare and sometimes malignant.We report hormonal and sexual changes in 39-year-old woman with androgen secreting adrenal tumour completely healed by resection of the tumour.Case report: Androgen secreting adrenal tumour that manifested in 39-year-old woman with suddenly appeared amenorrhea, weight gain, hirsutism, epileptic seizures and elevated DHEA-S and testosterone is describe...

Introduction: Lymphoma usually occurs within lymph nodes, but in rare cases, it arises from lymphocytes that are presented within the thyroid gland. Thyroid lymphoma is rare, representing less than 5% of thyroid malignancies and less than 2% of all lymphomas occurring outside of the lymph nodes and it is more likely to occur in people with Hashimoto’s thyroiditis. In this case we present a patient with Hashimoto’s thyroiditis (HT) and thyroid lymphom...

Relation of dehydroepiandrosterone sulphate (DHEAS) concentration and adrenal tumors (AT) has never been investigated systematically. After promising Terzolo group (1995, 1996, 2000) investigations, there was made a recommendation in the last clinical guidelines for adrenal incidentaloma (2016) to assess concentration of DHEAS in special clinical situations. Here we present the first systemic study of DHEAS in adrenal tumors.The aim was to analyse the cl...

The 1772 patients were referred for the dehydroepiandrosterone sulphate (DHEA-S) concentration assessment in Lithuania during 2014. We investigated 309 clinical history cases of which 162 presented with normal DHEA-S concentration and 147 with elevated one.One hundred twenty-three women with increased DHEA-S were examined. The following symptoms were found: hirsutism −39%, menstruation disorders −23%, weight gain −8%, and the rest &#872...