Endocrine Abstracts

Multiple dose adjustments can sometimes be inefficient in reaching eumetabolic state in patients with hypothyroidism treated by levothyroxine sodium tablets.We report a case of 46-year-old female who has been on levothyroxine sodium tablet replacement therapy since 2004 without ever reaching eumetabolic state. As sellar MRI ruled out pituitary adenoma, investigation perform absorption test with 300 mg levothyroxine and test was positive in aspect of pres...

Multiple dose adjustments can sometimes be inefficient in reaching eumetabolic state in patients with hypothyroidism treated by levothyroxine sodium tablets. We report a case of 44-year-old female who has been on levothyroxine sodium tablet replacement therapy since 2004 without ever reaching eumetabolic state, presented as outpatient one year ago. As sellar MRI ruled out pituitary adenoma, investigation targeting malabsorption was initiated. Antibodies to gliadin and transglu...

Diabetic ketoacidosis (DKA) is a state of absolute or relative insulin deficiency characterized by hyperglycemia, metabolic acidosis and ketosis and occurs mainly in type 1 diabetes mellitus (DM). While enhanced lipolysis and inhibition of lipoprotein lipase in DKA lead to typically not severe elevation of triglyceride (TG) level, extreme hypertriglyceridemia (HTG) is rarely seen. If complicated with acute pancreatitis (AP), DKA and HTG form a scarcely reported triad, controve...