Searchable abstracts of presentations at key conferences in endocrinology

ea0022p76 | Bone/Calcium | ECE2010

Osteomalacia: important cause of bone loss in a patient with inflamatory bowl disease: case report

Ghemigian Adina , Popescu Irina , Petrova Evghenia , Neacsu Elena , Dumitrache Constantin

Bone densitometry (DEXA) is the best method available today for diagnosing low bone density. However, DEXA is not able to differentiate osteoporosis from osteomalacia. The definitive diagnosis of osteomalacia is made by bone biopsy – rarely used in medical practice – which shows excess unmineralized bone. Tests of blood and urine may also be helpful: concentration of serum and urinary calcium and phosphorus, 25-hydroxyvitamin D and parathyroid hormone b...

ea0022p179 | Clinical case reports and clinical practice | ECE2010

Screening for nutritional status in the elderly

Popescu Irina , Ghemigian Adina , Petrova Evghenia , Dumitrache Constantin

The population of the world is aging and is estimated that by 2030 – 21% of global population will be aged 65 years and older. At present, under-nutrition in older people is a serious and growing global problem affecting even developed countries. As one ages, several physiological and pathlogical changes may contribute towards the development of protein energy malnutrition. This syndrom brings with it many adverse health outcomes and a significant cost to the individual, ...

ea0056p1058 | Thyroid (non-cancer) | ECE2018

The thyroid gland in acromegaly

Dumitriu Roxana , Petrova Eugenia , Buruiana Andra , Ghemigian Adina

Objective: Acromegaly is frequently associated with thyroid diseases. In this study we evaluated the incidence, morphology of the thyroid and the influence of surgery, iradiation and medical therapy used in acromegaly on thyroid function.Methods: We evaluated 20 patients diagnosed with acromegaly using thyroid ultrasonography and measurement of IGF1, GH, TSH, free T4. 65% of the patients had active disease and were under medical therapy.<p class="abs...

ea0056ep177 | Thyroid | ECE2018

Simultaneous medullary and papillary thyroid cancer in Graves-Basedow disease. Two case reports

Dumitriu Roxana , Petrova Eugenia , Buruiana Andra , Ghemigian Mircea , Ghemigian Adina

Introduction: The occurence of simultaneous medullary and papillary thyroid cancer is very rare. There were only 17 case reports in the literature, and fewer with Graves-Basedow disease associated. A retrospective study conducted at the National Institute of Endocrinology ‘C. I. Parhon’ showed that 7,6%of the patients who underwent total thyroidectomy for Graves-Basedow disease had thyroid cancer. Recent studies show that specific cellular pathways are determined by ...

ea0099ep80 | Thyroid | ECE2024

A severe case of ophthalmopathy in a primary hypothyroid patient

Vladica Diana , Dumitru Nicoleta , Alexandrescu Daniela , Mariana Ghemigian Adina

Introduction: Thyroid-associated ophthalmopathy (TAO) represents a common extrathyroidal manifestation of Graves’ disease, however 2-7.5% of primary hypothyroid patients can experience a form of TAO as well. This condition is a rare autoimmune disease, where auto-antibodies (anti-TSH receptor antibodies or TRAb) target antigens shared by the thyroid and the orbit. This results in the inflammation, swelling and bulging of the eyes and surrounding orbital tissues. There are...

ea0049ep117 | Clinical case reports - Pituitary/Adrenal | ECE2017

Endocrine masses displayed as incidentalomas in patients with unilateral nephrectomy

Ghemigian Adina , Petrova Eugenia , Dumitru Nicoleta , Buruiana Andra , Carsote Mara , Valea Ana

Introduction: Menopausal adrenal tumours may be elements of a complex panel of co-morbidities. Some of these are represented by the presence of a second pathology requiring surgery at the kidney level.Aim: We aim to introduce a series of two cases involving menopausal women who were referred for specific endocrine assays after they had a unilateral nephrectomy (UN).Method: This is a cases series observational study. The patients ga...

ea0041ep70 | Adrenal cortex (to include Cushing's) | ECE2016

Large aortic aneurism and left coronary artery calcifications: incidental findings at adrenal incidentaloma assessment

Carsote Mara , Dobrescu Mariana , Dumitrascu Anda , Gruia Adriana , Valea Ana , Ghemigian Adina

Introduction: In cases with high-risk metabolic profile the investigations may lead to the discovery of an adrenal tumor (AT). Complex endocrine investigations including computed tomography (CT) scans may point anomalies of the vessels as coronary artery or abdominal aorta.Aim: We report a case associating an AT and severe cardiovascular anomalies which are discovered during endocrine investigations.Case data: A 72-year prior smoke...

ea0041ep129 | Bone &amp; Osteoporosis | ECE2016

Adrenal tumors in menopause: bone assessment

Ghemigian Adina , Carsote Mara , Dumitrascu Anda , Dumitru Nicoleta , Valea Ana , Voicu Gabriela , Dumitrache Constantin

Introduction: Menopause correlates endocrine dysfunctions; whether an adrenal incidentaloma represents one of these it is difficult to establish since an age-dependent pattern of incidence has been described. Bone assays are necessary according to years since last menstruation but also if persistent hypercortisolemia is confirmed.Aim: This is a series of cases incidentally found with an adrenal tumor (AT) and osteopenia while evaluation of their menopaus...

ea0041ep134a | Bone &amp; Osteoporosis | ECE2016

Depression, Obesity, and Elbow Fracture: a Pathogenic Triangle?

Carsote Mara , Radoi Valentin , Valea Ana , Albu Simona Elena , Vasiliu Cristina , Ghemigian Adina

Introduction: Depression and associated medication, especially Selective Serotonin Reuptake Inhibitors, may associate high fracture risk through serotonin (but not only). Obesity has been recently proved to be correlated with a higher fracture risk for a few sites as ankle, elbow, shoulder, etc. Moreover, depression and some anti-depressants may increase the calories intake and consecutive increased of Body Mass Index (BMI) is registered.Aim: We present ...

ea0041ep1071 | Thyroid (non-cancer) | ECE2016

Ectopic Thyroid Tissue: Imagery Findings versus Pathological Report

Gheorghisan-Galateanu Ancuta Augustina , Carsote Mara , Dumitrascu Anda , Valea Ana , Geleriu Andreea , Terzea Dana , Ghemigian Adina

Introduction: Accessory thyroid tissue is a part of thyroid dysgenesis and sometime represents an incidental adult finding displaying a normal function.Material and Methods: This is a case presentation of an adult admitted for an atypical anterior cervical aspect which could not be recognized as accessory thyroid tissue only after surgery. Thyroid evaluation used imagery like ultrasound, computed tomography (CT), assays as TSH (Thyroid Stimulating Hormon...