Endocrine Abstracts

The author will discuss the practicalities and philosophy of diabetic patients being looked after by the wrong doctor.An evidence-based approach will be dismissed in favour of politically driven targets and the talk might be presented by a Department of Health clone (results awaited).A prejudicial review of medical history will be used to emphasise the superiority of the cardiologist over the management of the diabetic patient with...

Introduction: While most common aetiologies accounting for hyperthyroidism are straightforward and respond predictably to treatment, a subset provides diagnostic or therapeutic challenge. We report such a case.Case report: A 26-year-old Afro-Caribbean male presented with symptoms of thyrotoxicosis. FT4 was 50 (12–20 pmol/l), FT3 11.5 (3–8 pmol/l) and TSH 5.38 (0.27–4.20 mU/l). He had diffuse non-tender thyromegaly without eye signs. Thyroi...

Colour-Doppler Ultrasonography (CDU) is applied to the study of many thyroid diseases. In the last one semiquantitative (colour-signal) and quantitative (peak flow velocity at inferior thyroid artery) evaluations are considered. Graves’ disease (GD), amiodarone-induced thyrotoxicosis were better characterized, even Hashimoto thyroiditis and De Quervain thyroiditis were studied. We described a case of Silent Thyroiditis (ST), showing the possibility to distinguish it from ...

Introduction: Micronodular adrenocortical disease is a very rare cause of Cushing syndrome in children. This adrenocorticotropic hormone (ACTH)-independent form of Cushing syndrome is mostly a part of the Carney Complex, which is caused by mutations in the PRKAR1A gene (1). A young female with endogenous ACTH independent hypercorticism without the classical gene mutations in the pigmented and the non-pigmented form of micronodular adrenal disease is presented.<p c...

The prevalence of Obesity is increasing worldwide. This is due to a deterioration in dietary habits and lack of physical exercise in a genetically predisposed population. Obesity can commence in childhood and be progressive. Early detection, population wide education regarding prevention and early intervention is extremely important. The management of obesity must include an individualized evaluation and suitable, achievable plan. Obesity can be progressive through adolescence...

Purpose: Bronchopulmonary (BP) and gastroenteropancreatic (GEP) neuroendocrine neoplasms (NEN) are slow-growing tumors, which frequently express somatostatin receptors on their cell membranes. These receptors are targets for therapy with 177Lutetium-labeled somatostatin analogues.Experimental Design: Patients receive four treatments of 177Lu-DOTATATE at a dose of 7.4 GBq every 8 weeksResults: An objective resp...

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Living with type 1 diabetes (T1D) is challenging and requires intensive glucose monitoring and titration of insulin in order to obtain near-normal glucose levels to reduce the risk of complications. However, changes in dietary intake and level of activity can cause large glucose excursions. Continuous glucose monitoring systems, either intermittently scanned either real-time, can provide a comprehensive picture of glucose profiles, allowing patients to make therapeutic adjustm...

Introduction: Due to improved pediatric care, life expectancy of children with complex genetic syndromes (CGS) is increasing. Many children with CGS now do reach adult age and have to make the transition to adult endocrine healthcare. However, many adult endocrinologists are not yet prepared for the increasing number of adults with CGS. Although patients receive multidisciplinary (MD) care at the pediatric department, MD care is not yet available for most adults with CGS. Also...

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