Searchable abstracts of presentations at key conferences in endocrinology

ea0070ep498 | Thyroid | ECE2020

A case of graves disease with hepatic dysfunction, thrombocytopenia and paralysis

Houssein Mehdi , Turan Kubra , Evranos Ogmen Berna , Aydin Cevdet , Ozdemir Didem , Faki Sevgul

Background: Graves’ disease is an autoimmune disease that is characterized by production of excess thyroid hormones by thyroid gland, which is called hyperthyroidism. Generally, clinical presentations of Graves’ disease range from asymptomatic disease to overt symptomatic hyperthyroidism with heat intolerance, tremor, palpitation, weight loss, and increased appetite. Single-cell lineage haematological abnormalities, such as anemia, leukopenia, and thrombocytopenia,...

ea0073aep794 | Late Breaking | ECE2021

Cushing’s syndrome presenting with dilated cardiomyopathy: A case report

Turan Erdogan Beril , Houssein Mehdi , Ozcelik Ozgur , Cuhaci Seyrek Neslihan , Topaloglu Oya , Ersoy Reyhan , Cakir Bekir

BackgroundCardiovascular complications of Cushing’s syndrome (CS) include; hypertension, left ventricular hypertrophy, and myocardial ischaemia. Also, CS can cause structural and functional changes in the heart, leading to dilated cardiomyopathy in rare cases. Here, we present a case with dilated cardiomyopathy related to Cushing’s syndrome.CaseA 31-year-old male patient applied to the cardiology de...

ea0073aep846 | Late Breaking | ECE2021

Hemorragic degeneration after covid-19 infection in microprolactinoma

Ince Nurcan , Houssein Mehdi , Bestepe Nagihan , Durmaz Himmet , Ozdemir Didem , Topaloglu Oya , Ersoy Reyhan , Cakir Bekir

IntroductionPituitary apoplexy is seen in 1.5–27.7% of pituitary adenomas. Common etiologies include hypertension, diabetes mellitus, radiotherapy, contrast-enhanced MR, surgery, drugs, anticoagulant, antithrombotic, estrogen, head trauma and pregnancy. SARS-CoV-2 had spread rapidly, and caused COVID-19 pandemic. Although it mainly causes respiratory problems, there may also be extrapulmonary involvement. COVID-19 infection is associated with hemorr...

ea0081p770 | Late-Breaking | ECE2022

A patient with acromegalic heart disease

Houssein Mehdi , Turan Kubra , Temizhan Ahmet , Tural Balsak Belma , Ali Tam Abbas , Topaloglu Oya , Ersoy Reyhan , Cakir Bekir

A 36 years of old patient was admitted to the intensive care unit of cardiology when he experienced palpitations and orthopnea. The patient’s complaints started about 2 years ago as syncope and sudden shortness of breath. Thorax CT showed pleural effusion and increased cardiothoracic index. Findings on ECHO were : Ejection fraction 35%, severe mitral regurgitation and global hypokinesia. Coronary angiogram showed a fibrocalcific plaque noted in in the distal LAD. The pati...

ea0070ep320 | Pituitary and Neuroendocrinology | ECE2020

Lateralized sixth cranial nerve palsy after inferior petrosal sinus sampling

Helvacı Burçak , Houssein Mehdi , Dilek Dellal Fatma , Yuce Gokhan , Burçak Polat Şefika , Ersoy Reyhan

Introduction: Inferior petrosal sinus sampling (IPSS) is the gold standard test to differentiate Cushing’s disease from ectopic Cushing syndrome. IPSS may cause severe complications; however, overall rates are low. Subarachnoid hemorrhage (SAH) has been rarely reported after IPSS. Here we report a case who developed hypertensive emergency, left 6th cranial nerve palsy, and SAH after IPSS.Case: A sixty-two years-old female patient had a history of h...

ea0073aep847 | Late Breaking | ECE2021

Two thyrotropin secreting pituitary adenoma cases diagnosed after response to the somatostatin analogue

Karahmetli Gulsum , Houssein Mehdi , Belma Ozlem Tural Balsak , Ogmen Berna , Topaloglu Oya , Ersoy Reyhan , Bekir Cakır

IntroductionPituitary adenomas secreting TSH (TSHoma) are a rare cause of hyperthyroidism. They account for approximately 0.5–3 % of functioning pituitary tumours and much less than 1% of all cases of hyperthyroidism. TSHoma should be considered in all hyperthyroid patients, especially those with diffuse goitre and no extrathyroidal signs of Graves’ disease.Case 1A 30-year-old female applied to the ...

ea0090ep341 | Diabetes, Obesity, Metabolism and Nutrition | ECE2023

Metformin-Associated Lactic Acidosis: A Case Report

Baykal Gokhan , Houssein Mehdi , Onal İrem , Şahiner Enes Seyda , Bicer Cemile , Imga Narin Nasiroglu , Topaloglu Oya , Ersoy Reyhan , Cakir Bekir

Introduction: Metformin is widely used as the first-line therapy for patients with type 2 diabetes, and its most common adverse effects are gastrointestinal. Metformin-associated lactic acidosis (MALA) is a rare but serious adverse effect in patients with type 2 diabetes or patients who attempt suicide with metformin overdose. Here, we report the case of a 22-year-old woman who developed severe lactic acidosis after high-dose metformin was taken for a suicide attempt.<p cl...

ea0090ep818 | Pituitary and Neuroendocrinology | ECE2023

A Pituitary Neoplasm with an Aggressive Course: Silent Corticotroph Adenoma

Yiğit Koroğlu Ekin , Houssein Mehdi , Tural Balsak Belma , Bahadır Burak , Gureşci Servet , Topaloglu Oya , Ersoy Reyhan , Cakir Bekir

Patient is a 43 years old female without any known additional disease. A pituitary mass was seen in the cranial MRI taken due to the complaint of forgetfulness. Pituitary MRI of the patient revealed a ’large intrasellar mass of 3.2x3x2.3 cm, which expanded the sella and pressed the optic chiasm’. The patient didn’t describe any symptoms other than forgetfulness. She didn’t have galactorrhea, cushingoid or acromegaloid appearance. Patients laboratuary evalua...