Endocrine Abstracts

Background: Thyroid nodules diagnosed as Bethesda category IV (follicular neoplasm/suspicious for follicular neoplasm (FN/SFN)) are recommended for surgery. However, only 25% of these nodules turn to be malignant on histopathology. Therefore, selection of nodules for surgery diagnosed as Bethesda category IV is important. We aimed at to define the predictive factors for malignancy and predictive risk indices for selection of surgery.Method: The records o...

ObjectiveThis was a systematic review with meta-analysis aiming to identify if patients with Klinefelter syndrome (KS) had a reduced full scale intelligent quotient (IQ) when compared to controls. Reduced IQ is shown to have a negative multifaceted effect on individuals’ Quality of Life (QoL), having been shown as a predictor of future success, increased criminal behaviour, post-traumatic stress disorder (PTSD), lower academic achievements and i...

Introduction: Thyroid ophthalmopathy occurs generally due to Graves’ disease. Only a few cases were reported about ophthalmopathy in the years following a thyroidectomy and RAI therapy or metastatic papillary thyroid cancer.Case: A forty-six-year-old female patient was operated on for the fine needle aspiration biopsy (FNAB) result of a suspicious follicular neoplasia. A pathology examination showed a papillary microcarcinoma and Hashimoto thyroidit...

Purpose: Cocaine and amphetamine-regulated transcript (CART) influences the appetite, obesity and pancreatic functions. The aim of this study is to determine the CART level of patients with PCOS and examine the relation with the insulin resistance in patients with PCOS.Methods: 41 patients with PCOS and and 39 healthy women were included in the study whose age and BMI matched. For PCOS diagnosis, 2003 Rotterdam criteria were used. The fasting serum gluco...

Introduction: Lipocalin-2 is abundantly expressed in mature adipocytes and causes insulin resistance. In the physiopathology of PCOS, insulin resistance has great importance. The purpose of this study was to determine serum lipocalin-2 levels in patients with PCOS and to investigate its relationship with body fat percentage, hs-CRP and insulin resistance.Methods and designs: This study was planned as a case controlled study. We enrolled 44 women with PCO...

Objective: The red blood cell distribution width (RDW) is being recognized as a global marker of chronic inflammation, high level of oxidative stress, and cardiovascular disease risk. We aimed to investigate the relation between the level of RDW and highly sensitive C-reactive protein (hs-CRP), insulin resistance, BMI and body fat percentage in women with polycystic ovary syndrome (PCOS).Methods: Cross-sectional study of 90 PCOS (2003 Rotterdam Consensus...

Hirsutism, development of terminal body hair in women in unexpected areas, may result from different etiologies; 4.3% being nonclassical congenital adrenal hyperplasia (NCCAH) and acromegaly being one of the rarests. We here present a severe hirsutism case with acromegaly and NCCAH.Case: A 30-year-old woman with headache and visual field abnormalities was consultated by our clinic about her cranial imaging revealing a macroadenoma in pituitary localizati...

A 58-year old female with long standing type 1 diabetes and treated hypothyroidism presented to casualty with a 1-day history of vomiting and breathlessness. Clinically she was dehydrated with a depressed conscious level (GCS=12). Initial investigations confirmed diabetic ketoacidosis (pH=6.8, bicarbonate=4.7 mmol/l, urinary ketones=4+, blood glucose=54.6 mmol/l) and acute renal failure, likely to be secondary to pneumonia as there was consolidation on her CXR and a raised WCC...

IntroductionGestational diabetes mellitus (GDM) may frequently be overcome by nutrition therapy alone, but insulin regimen may be necessary in about 30 % of the patients with GDM. It was known that thyroid hormones were associated with glucose metabolism. Therefore, we aimed to investigate the association of fT4 level with insulin requirement in euthyroid pregnant women with GDM.Materials and methodsWe consec...

Introduction: Parathyroid surgical therapy differs because the glands are small and of variable number and location. Although localization studies have improved greatly, we may not reliably determine the number and location of all diseased glands preoperatively. Ultrasonography (US) is the most widely used imaging method. In this study, we aimed to demonstrate how the surgical outcomes change when the surgeon accompanies the endocrinologist during preoperative ultrasonography ...