Endocrine Abstracts

Introduction: Thrombosis of the portal venous system is rare with the prevalence about 1% in the general population reported previously, difficult to diagnose and can be fatal. We report a case of previously-undiagnosed type 2 diabetes mellitus presenting as portal venous system thrombosis and reviewed the pertinent medical literature.Case presentation: A 54-year-old white female was admitted to our hospital with 10 days history of vague...

Introduction: Although psychiatric manifestations in the form of delirium, confusional states, and psychosis have been commonly reported in relation to hypoglycemia, association of hyperglycemia with psychiatric manifestations has been less commonly reported. Acute hyperglycemia is known to alter mood state and impairs cognitive performance in patients with diabetes mellitus. However, association of acute psychosis (in the absence of cognitive disturbances) with hyperglycemia ...

Background: During the COVID-19 outbreak, there are rising concerns about long-term complications of COVID-19. On the other hand, discitis is a rare neurologic diagnosis, often delayed or missed due to the rarity of the disease. Patients usually present at an average age of 69 years with a history of diabetes or with a systemic infection. The lumbar spine is the most frequent site of infection (54%), and the cervical is the least at 10%. This is a case of post-COVID-19, diabet...

Introduction: Pheocromocytoma, is a rare cause of hypertension diagnosed during pregnancy, with a prevalence 0.002%, due to its non-specific presentation and difficulty to distinguish its hypertension from other clinical conditions during pregnancy. Early diagnosis and appropriate treatment have a great impact on maternal and fetal mortality. Pheocromocytoma is sporadic in the majority of cases, but up to 25% may be syndrome-associated.Case report: We re...

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: Hyponatremia (defined as a serum sodium level <135 mmol/l), is seen in in 15–30% in hospital setting, especially in intensive care units. Certain drugs (e.g.Thiazides diuretics) used in everyday clinical practice, may induce hyponatremia, more frequently in elder women.Case report: A 76-year-old woman presented at emergency unit with complaints: physical weakness, nausea, vomiting, extreme fatigue and abdominal pain. She was under ...

Introduction: Adrenomyeloneuropathy (AMN) is a form of X-linked adrenoleukodystrophy (X-ALD) a rare inherited disorder (estimated prevalence 1:20 000 to 1:50 000) characterized by the accumulation of very long chain fatty acids (VLCFA) and affects mainly the nervous system white matter and the adrenal cortex and nearly 100% penetrance in males. Widely varying phenotypes and prognoses often co-occur in a single kindred.Methods: We report a case diagnosed ...

Introduction: Primary hyperparathyroidism (PHPT) is a rare disorder among young adults. Classic manifestations of PHPT, such as nephrocalcinosis, nephrolithiasis, are rarely seen today.Case report: We refer the case of a young male, 25 years old, presented in emergency unit with: headaches, lumbago, epigastric pain, weight loss (5 kg during six last months), polydipsia-polyuria. Medical history: He has been diagnosed with nephrolithiasis and gastritis a ...

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...