Endocrine Abstracts

A 55-year-old Saudi woman with a complaint of anterior maxilla mass of 1 month duration. Initial examination revealed a painful mass in the anterior maxilla. Surgery was not undertaken because routine laboratory investigations revealed hypercalcemia.Initial laboratory tests performed on admission showed the following: alkaline phosphates 143 IU/l, corrected serum calcium 3.2 mmol/l, PTH 120 pmol/l A provisional diagnosis was made for h...

A 45-year-old male known case of sporadic medullary thyroid carcinoma with metastasis to lymph nodes and bone. He underwent total thyroidectomy and modified neck dissection and external radiation in 2003. He was admitted with MTC which was progressive with rising calcitonin from 9000 to 40 000 μg/l. He underwent urgent tracheostomy and assessed by ENT and found to have bilateral vocal cord palsy. Patient improved; however on further assessment he was found to have severe ...

Hypothyroidism is the most common endocrine disease that was seen in the clinical practice especially for family. What issues about hypothyroidism should be covered in clinical practice? A 36-year-old woman who was diagnosed with hypothyroidism 3 years ago tells her endocrinologist that she wants to conceive in the next year. She was treated with LT4, 0.1 mg per day. Her last serum TSH was 0.7 mIU/l. She is instructed to notify her endocrinologist as soon as she fin...

A 58-year-old Saudi female presented with fatigue, dizziness and generalised skin hyper-pigmentation. She was diagnosed as Hashimoto’s hypothyroidism. She was diagnosed recently to be diabetic and her blood sugar was controlled with insulin. She reached menopause at the age of 36 years. Lab resultsPatient<td ali...

Objective: The objective of this study was to investigate the correlation between the neurological manifestations of vitamin D deficiency and the levels of 25(OH)D and bone profile.Methods: We conducted a case series study in patients with osteomalacia who were followed up at King Abdulaziz Medical City, Jeddah, between January 2011 and December 2012. We collected information on demographic data, etiological factors for vitamin D deficiency, clinical pre...

A 16 years old boy referred to neurosurgery due to sellar and suprasellar mass. He had a history of retro orbital headache in the last three years. he noticed increase in his height, enlargement of hands and feet. He had one year history of progressive decrease in vision mainly in the left. He did not enter puberty.Physical examinationsBMI 36 kg/m2 (more than 95 percentile), Tall height 190 (more than 97 percentile), Wei...

Aim: To determine the incidence of hypocalcaemia and the need for calcium supplementation after thyroid surgery in 120 patients.Methods: A prospective study to determine the incidence of hypocalcaemia by measuring ionized calcium level in 120 patients underwent thyroidectomy at King Abdul Aziz University Hospital, the data included pre- and post-operative ionized calcium level, albumin, free thyroxine, thyrotopin and alkaline phosphatase. As well include...

This is a prospective study analyzing gender differences in the presentation of hyperprolactinemia as well as the efficacy and tolerance to cabergoline and bromocriptine. Thirty-six patients (23 women, 13 men) were recruited and divided into two groups; Group One received bromocriptine and Group Two received cabergoline for three months. The prolactin level was measured before and after treatment in both groups. Galactorrhea and infertility were more common symptoms in women; ...

A 30-year-old woman pakistani patient was admitted to king Abdulaziz University hospital in Jeddah, Saudi Arabia with history of severe abdominal pain, vomiting and hypotension. She was born with Ambiguous genitalia and operated at age 8 years. She has severe hirsutism, with score of 18 and virilization. There are no family history of congenital adrenal hyperplasia. Physical examination showed her height was 151 cm and weight 42 kg. For evolution of hirsutism and virilization....

Introduction: Brown tumors are rare focal giant-cell lesions that arise as a direct result of the effect of parathyroid hormone on bone tissue in some patients with hyperparathyroidism.Case: A 55-year-old Saudi woman was admitted to King Abdulaziz University Hospital (Jeddah) with a complaint of anterior maxilla mass of one month duration. Her medical history was unremarkable.Initial examination revealed a painful mass in the anter...