Endocrine Abstracts

Background: Isolated adrenocorticotropic hormone (ACTH) deficiency is a rare entity defined by secondary adrenal insufficiency and normal secretion of all other pituitary hormones. Delays in adrenal insufficiency (AI) diagnosis frequently encounter among older patients because of non-specific symptoms. The occurrences of actual or incipient adrenal crises following coronavirus disease 2019 (COVID-19) vaccine administration are increasingly reported over the last year after vac...

Background: Recent advances in next-generation sequencing technology have greatly increased the number of Variants of Uncertain Significance (VUS) encountered in clinical practice. Herein, we present difficulty in diagnostic path and challenges in a premenopausal woman with an unusual fracture history and osteoporosis.Clinical Case: A 37-year-old Thai woman with no known underlying disease was diagnosed with osteoporosis (a BMD Z-score of -2.6 a...

Background: People with type 2diabetes (T2D) often referred as cardiovascular disease (CVD) risk equivalent. However, CVD risk in diabetes varies greatly and substantial proportion of people with T2D have low CVD risk as with the general healthy population. The latest European Society of Cardiology (ESC) guidelines 2023 endorsed the T2D-specific CVD risk score (SCORE2-Diabetes) for people with T2D. However, current prediction models are developed from non-Asian populations, an...

Background: While needle tract seeding has long been recognized as an uncommon complication of the fine needle aspiration (FNA) of the thyroid nodules, seeding tumor metastasis resulted from subcutaneous hematoma following FNA is extremely rare. Herein, we present a challenging case of skin metastasis of papillary thyroid carcinoma as a late complication of subcutaneous hematoma associated with fine needle aspiration.Clinical case: A 57-year-old male pre...