Endocrine Abstracts

Introduction: Hypothyroidism is considered refractory to oral levothyroxine substitution, when there is biochemical (serum level of TSH (thyroid stimulating hormone) above the upper target level) or clinical evidence of hypothyroidism, despite increasing dosages of oral levothyroxine beyond 2.5 μg/kg daily. In these circumstances, further increments in the dosage of levothyroxine may not always be the most appropriate intervention. In such a situation, physicians need to ...

Introduction: Hyponatremia is a common electrolyte disturbance in clinical practice, and is considered severe when Na+<125 mEq/L. In most patients, is caused by a single cause but, in selected cases, there are multiple factors that contribute together. Drugs are a common cause of electrolytes abnormalities and a careful drug history is important especially the interaction between them.Case report: We report the case of a 60-year-old male patient who ...

Introduction: The trio of severe hypertriglyceridemia, acute pancreatitis and diabetic ketoacidosis (DKA) is a rare occurrence. Previous cases have presented DKA as the initial factor, contributing to subsequent hypertriglyceridemia and pancreatitis. Moderate hypertriglyceridemia is commonly observed in DKA but severe hypertriglyceridemia is very rarely reported.Case report: We report a case, male 29 years old, diagnosed with hypertriglyceridemia 3 years...