Endocrine Abstracts

Introduction: Autoimmune polyglandular syndrome type 2 (APS2) is the most common form of the polyglandular failure syndromes. Seventy-five percent of cases occur in women. Adrenal insufficiency is the principal manifestation occurs with autoimmune thyroid disease or type I diabetes mellitus. The incidence of autoimmune thyroid diseases in APS2 is 70%; 30% Hashimoto’s thyroiditis, 20% non toxic goiter, 20% hypertyroidism is seen. We will discuss about a patient with APS2, ...

Objective: Radioiodine (RAI), surgical and anti-thyroid drug therapy are the main options to treat Graves’ disease (GD). The aim of this study was to investigate theurapeutic options, their efficacy and adverse reactions of prophilthiouracil (PTU) and methimazole (MMI).Design: A total of 650 patients with GD were evaluated retrospectively. Treatments, adverse reactions, clinical and laboratory results were recorded. After 18 months of primary medica...

Background: In the presence of specific symptoms and signs, Cushing’s syndrome (CS) may be easily recognised. On the other hand, in overweight and obese patients without typical features of CS, diagnosis may be omitted. Our aim was to evaluate the prevalence of CS among overweight and obese patients.Methods: We enrolled 264 overweight and obese patients who has not overt CS clinical features between January 2012 and December 2014 at Ankara Numune Ed...

Introduction: Ectopic thyroid tissue is the result of abnormal gland migration from the foramen caecum to its normal pretracheal position. An ectopic thyroid can be lingual (at the base of the tongue), sub-lingual (below the tongue), prelaryngeal (in front of the larynx), or can be found at other rare sites. The most frequent noncervical location for ectopic thyroid tissue is the thoracic cavity. Here we discuss about a rare case of mediastinal ectopic thyroid tissue presentin...

Introduction: Pregnant women with known hypothyroidism must have monthly follow up with thyroid function tests. Appropriate L-thyroxin replacement dose can be given due to trimester specific thyroid stimulating hormone (TSH) levels. We will discuss about a hyperthyroid pregnant woman who was taking L-thyroxin replacement before and during the first trimester of pregnancy for hypothyroidism.Case: A 24-year old woman came to o...

Introduction: Fine-needle aspiration (FNA) is a simple, the most cost-effective, less invasive and a commonly used diagnostic tool for evaluating thyroid nodules. Recent times a tech-nique called fine-needle sampling non-aspiration (FNNA) or fine-needle capillary thyroid biopsies (FNC) has been more preferred. This technique prevents the use of suction so there is no aspiration crush and there-fore nondiagnostic outcomes are reduced. The aim of this prospective study was to co...

Ectopic secretion of corticotropin(ACTH) by nonpituitary tumors accounts for 10–15% of ACTH dependent Cushing’s syndrome (CS). Generally it is difficult to localize the ACTH secreting tumor by conventional imaging methods because these tumors are often small in size. Here we present a case of ectopic ACTH syndrome diagnosed with octreotide scan.Case: A 26-year-old male patient presented with moon face, purplish striae, supraclavicular fat pads ...

Mixed medullary-follicular carcinomas (MMFC) of the thyroid are rare tumors which represents <0.15% of all thyroid tumors showing the morphological and immunochemical properties of both parafollicular and follicular cell lineages. Cases were immunoreactive for both calcitonin and thyroglobulin.Case 1: A 25-year-old female patient referred us for evaluation of a thyroid mass located on the left lobe. Ultrasonography (US) revealed 38 mm solid isoechoic...

Immune supressive patients due to any cause (disease, medication, etc.) rarely have autoimmune diseases. In this presentation, two patients diagnosed with Graves’ disease and subacute thyroiditis while taking cyclosporine therapy will be discussed.Case 1: A 47-year-old female patient applied with weight loss, sweating and tremor. She had been on cyclosporine therapy for 3 years because of hypoplastic anemia. In laboratory tests; TSH: 0.005 uIU/ml (0...

Introduction: High values of fine needle aspiration washout thyroglobulin (FNA-Tg) are diagnostic for metastatic lesions of thyroid cancer. However, there is not a consensus on cut-off for high Tg level. The most important confounding factor for FNA-Tg is inability to calculate Tg per unit volume because residual aspiration material in the needle cannot be known exactly. Another problem is possible contamination of whole blood during lymph node aspiration. In this study, we ai...