Searchable abstracts of presentations at key conferences in endocrinology

ea0090ep479 | Diabetes, Obesity, Metabolism and Nutrition | ECE2023

A Rare Complication of Diabetes: Hemiballism Syndrome Associated with Non-ketotic Hyperglycemia

Meletli Ozlem Kanburoglu , Birinci Cigdem , Cuneyt Bilginer M. , Coskun Hulya , Nuhoglu Irfan , Ucuncu Ozge , Kocak Mustafa

Introduction: Hemiballism is a rare hyperkinetic movement disorder characterized by involuntary, violent, coarse and wide-amplitude movements involving the ipsilateral arm and leg. Here, we aimed to present a case diagnosed as hemiballism due to non-ketotic hyperglycemia.Case Report: A 60-year-old female patient presented to the emergency department with involuntary movements in the right half of the trunk for 10 days. It was a large amplitude proximal e...

ea0090ep613 | Endocrine-related Cancer | ECE2023

A Rare Case; Ectopic ACTH Syndrome Caused by Metastatic Germ Cell Tumor

Meletli Ozlem Kanburoglu , Birinci Cigdem , Bilginer Cuneyt , Coskun Hulya , Nuhoglu Irfan , Ucuncu Ozge , Kocak Mustafa

Introduction: Although ectopic ACTH syndrome (EAS) is most commonly seen in cancers with neuroendocrine differentiation, it is not a common condition in germ cell tumors. Here we report a rare case of EAS due to metastatic germ cell tumor.Case report: A 53-year-old male patient presented with fatigue, weakness, swelling in both legs and weight loss for 3 months. He had type 2 diabetes and no history of smoking or alcohol. In the physical examination, the...

ea0090ep891 | Pituitary and Neuroendocrinology | ECE2023

Suprasellar Germinoma with Hypopituitarism and Central Diabetes Insipidus

Kanburoglu Meletli Ozlem , Birinci Cigdem , Cuneyt Bilginer M. , Coskun Hulya , Nuhoglu Irfan , Ucuncu Ozge , Kocak Mustafa

Introduction: Germinomas, which are the most common germ cell tumors of the central nervous system, may present with different symptoms depending on the location and are localized in the 20-30% suprasellar region. Here, we aimed to present a case of suprasellar germinoma with central diabetes insipidus, hypogonadism and secondary adrenal insufficiency.Case Report: A 27-year-old male patient presented with dry mouth, polydipsia, polyuria and nocturia for ...

ea0090ep1014 | Thyroid | ECE2023

A patient with thyroid lymphoma diagnosed during follow-up with benign thyroid nodule

Birinci Cigdem , Coskun Hulya , Ucuncu Ozge , Bilginer Cuneyt , Kanburoglu Meletli Ozlem , Kocak Mustafa , Nuhoglu Irfan

Objectives: Primary thyroid lymphoma constitutes 0.5-5% of all thyroid malignancies. Its incidence is two per million persons. Patients usually present with rapidly growing masses in the thyroid their sixth-seventh decades. The disease is frequently accompanied by chronic Hashimoto’s thyroiditis. Most tumors are B-cell derived non-Hodgkin’s lymphoma.Case report: An 84-year-old male patient presented with a palpable swelling in the neck. Ultraso...

ea0049ep843 | Clinical case reports - Pituitary/Adrenal | ECE2017

Coexistence of acromegaly and rheumatoid arthritis: presentation of three cases

Ersoy Reyhan , Bestepe Nagihan , Faki Sevgul , Bilginer Cuneyt , Ozdemir Didem , Erten Sukran , Cakir Bekir

Introduction: Musculoskeletal system is widely affected in acromegalic patients which might cause difficulties in the diagnosis and treatment of inflammatory rheumatological diseases. Here, we report coexistent rheumatoid arthritis (RA) in three acromegalic patients presenting with continuing joint and back pain although acromegalic state was in remission.Case 1: A 64 years old female patient with acromegaly and macroadenoma had undergone transsphenoidal...

ea0049ep1258 | Thyroid (non-cancer) | ECE2017

Fluctuating thyroid hormones in Graves disease: a case series of brittle Graves

Cuneyt Bilginer Muhammet , Faki Sevgul , Aydin Cevdet , Ozdemir Didem , Ali Tam Abbas , Ersoy Reyhan , Cakir Bekir

Introduction: Brittle hypertyroidism is a term used for the clinical situation characterized by hypo-hyperthyroidism with antithyroid drugs, despite good compliance and follow-up. Here, we presented five patients suggested to have Brittle Graves.Case-1: Thyrotoxicosis was observed in a 57-year-old female patient and Graves was diagnosed after laboratory and imaging examinations 25 months after initiation of propylthiouracil 50 mg/day, she developed hypot...

ea0041ep295 | Clinical case reports - Pituitary/Adrenal | ECE2016

A patient with radiological dilemma: hemorrhagic pituitary adenoma or rathke’s cleft cyst?

Faki Sevgul , Topaloglu Oya , Bilginer Cuneyt , Cuhaci Neslihan , Ercan Karabekir , Ersoy Reyhan , Cakir Bekir

Introduction: Rathke’s cleft cyst is one of the pituitary non-adenomatous tumors that found in about 20% of pituitary glands at autopsy. Symptomatic Rathke’s cleft cysts are rarely, but these cysts can cause serious medical problems associated with compression of the pituitary gland, pituitary stalk, optic nerve or hypothalamus. Here, we report a rare case of 73 years old man with sudden onset headache due to Rathke’s cleft cyst present with symptoms and radiolo...

ea0041ep367 | Clinical case reports - Thyroid/Others | ECE2016

A case with atypical parathyroid lipoadenoma presented with severe hypercalcemia and skeletal deformities

Bilginer Cuneyt , Topaloglu Oya , Cuhaci Neslihan , Dumlu Gurkan , Yazgan Aylin Kilic , Ersoy Reyhan , Cakir Bekir

Introduction: Parathyroid lipoadenoma (PLA) is a rarely seen, benign variant of parathyroid adenoma (PA). However, PA usually consists of uniform, polygonal chief cells with a few nests of oxyphil cells, PLA consists of similar histologic features, but with an abundance of fat cells. Additionally, PLA may be functional with the secretion of parathyroid hormone (PTH) or non-functional. Here, we present a case of atypical PLA presented with severe hypercalcemia and skeletal defo...

ea0041ep998 | Thyroid (non-cancer) | ECE2016

Hemithyroidectomy seems to be a reasonable initial surgical approach for patients with cytologically Bethesda Category III (AUS/FLUS) thyroid nodules

Bilginer Cuneyt , Ozdemir Didem , Topaloglu Oya , Aydin Cevdet , Dumlu Gurkan , Dogan Hayriye , Ersoy Reyhan , Cakir Bekir

Introduction: Atypia of undetermined significance/follicular lesion of undetermined significance (AUS/FLUS) termed as Bethesda Category III constitute 15–30% of thyroid cytology. However, the risk of malignancy in this heterogenous category is estimated as 5–15%. The recent studies has been reported the malignancy rate in the wide range of 6–48%. This causes surgical approach variability between different centers. We aimed to evaluate the initial malignancy rate...

ea0056p1081 | Thyroid (non-cancer) | ECE2018

Coincidental prolactinoma and parathyroid adenoma in a patient with negative MEN1 and MEN4

Faki Sevgul , Aydin Cevdet , Cuneyt Bilginer Muhammet , Yukselguler Bagdegul , Abbas Tam Ali , Kilic Mehmet , Cakir Bekir

Introduction: Multiple endocrine neoplasia type 1 (MEN 1) is associated with neoplasia and hyperfunction of the parathyroid and pituitary glands, pancreatic islet cells, and neuroendocrine cells of the gut. Many authors advocate routine subtotal or total parathyroidectomy and autotransplantation for these patients. Here we demostrate negative MEN1 and MEN4 gene mutation analysis in a case with prolactinoma and a large parathyroid adenoma that could not be localized with preope...