Endocrine Abstracts

Clinical Case: We referred one case with primary hypothyroidism and tarsal tunnel syndrome. The boy 11 6/12 years old was presents in our clinic with fatigue, obesity, difficulty during walking, low performance in school, hyposthenia and dementia. His weight was 48 kg +3.8 DS; height 153 cm +2 DS; the patient has bilateral symptoms of the tarsal tunnel syndrome and his foot symptom was aggravated by walking. The hormonal values were: TSH 2.3 mUI/ml (0.35–4.04); FT4 0.54 n...

Introduction: Polycystic ovary syndrome (PCOS) is the most common gynecological endocrinopathy. Women with PCOS are at increased risk of reproductive problems including infertility, endometrial cancer, late menopause and also metabolic aberrations, including insulin resistance, type 2 diabetes mellitus, dyslipidemia and cardiovascular diseases. There is very few data available on prevalence of PCOS on infertile population in Albania. The aim was to evaluate the prevalence of P...

Introduction: Hypopituitarism due to Sheehan′s syndrome is a rare complication and its diagnosis is often overlooked. The vast majority of people with hypothyroidism have primary hypothyroidism, often due to Hashimoto’s thyroiditis. Coexistence of hypopituitarism and primary hypothyroidism, may accelerate clinical manifestations, mainly those associated with hypothyroidism. Hashimoto′s Thyroiditis with concomitant hypopituitarism is rare but has been described...

Diabetic ketoacidosis is a well- known and a major acute complication of diabetes, mainly of the patients with type 1 diabetes. It is not uncommon in patients with type 2 diabetes. This situation is characterised by the presence of serum ketones greater than 5 mEq/l and ketonuria, a blood glucose level greater than 250 mg/dl, a blood PH less than 7.3 and a serum bicarbonate level of less than 18 mEq/l. There are different factors that cause ketoacidosis. DKA can be the initial...

Thyrotoxicosis is characterised by the excess of thyroid hormones into blood. The most extreme appearance of it, is thyroid storm which is presented as an acute, severe, life-threatening, hypermetabolic state caused by the added quantities of thyroid hormones, causing adrenergic hyperactivity and abnormal periphery response of thyroid hormones. The incidence of thyroid storm is evaluated at 0.2/100000 in year. The mortality of untreated thyroid storm varies from 80–100% w...

Aim: The aim of the study was to evaluate the correlation between salivary and serum cortisol values to the healthy people and patients with Cushing’s syndrome.Methods: 33 cases: 21 healthy people aged 22 to 53 years old; 12 patients with Cushing’s syndrome values were included to our study. All the participiants of control group were healthy without known disease. Two samples of salivary and serum cortisol was taken to all the participiants of...

It is well known nowadays the positive effect that early detection of prediabetes has in preventing and postponing the diabetes onset. The aim of our study is to explore the diabetes prevalence in Albania and to identify and stratify the population at risk for developing diabetes.Material and methods: A large scale multicentre screening was performed in Albania as part of a National Campaign. 15744 patients were consecutively recluted. The following data...

Introduction: Thyroglobulin (TG) is the most important protein produced by the thyroid. TG is considered a reliable marker of recurrent disease in patient with differentiated thyroid carcinoma (DTC). Before surgery, high serum TG values may be due to an abnormally large thyroid, excessive thyroid stimulation, or physical damage to thyroid etc.Methods: We evaluated in the retrospective study 20 patients (mean age 49.6±12 S.D., range fr...

Background: The involvement of nurses in diabetes patient education has an important contribution in the improvement in the quality of care provided. Experience and knowledge in diabetes and its management are crucial for teaching patients with diabetes effectively.Material and methods: The aim of the study is to evaluate the effect of nurse Training Course in the improvement of the knowledge of diabetes among nurses. Ten Diabetes Education Unit’s n...

Background: Adrenal metastatic melanoma can be found in up to 50% of patients with melanomas. These tumors are not hormone-secreting, and they usually present with locally advanced disease.The case: We report on the presence of a bilateral massive metastatic adrenal melanoma in a 56-year old woman with the initial clinical diagnosis of bilateral adrenal cyst or hemorrhage, and chronic adrenal failure. The patient underwent surgery one month before the ad...