Searchable abstracts of presentations at key conferences in endocrinology

ea0049ep1295 | Thyroid (non-cancer) | ECE2017

Treatment of toxic multinodular goiter with 131 radioactive iodine – effects in volume reduction, thyroid function and autoimmunity

Roque Catarina , Sousa Santos Francisco , Pilli Tania , Pacini Furio

Abstract: Radioiodine is a definite treatment option for toxic goiter. We have evaluated volume reduction, function and autoimmunity outcomes with a 15 mCi fixed regimen. Patients with at least one US evaluation before and after Iodine-131 therapy and with at least one year of follow-up were included. TSH, free-T4, antibodies and goiter volume before and yearly after Iodine-131 treatment were analysed for the length of the entire follow-up. The total 151 patients, 72.6% female...

ea0070aep631 | Pituitary and Neuroendocrinology | ECE2020

Functional panhypopituitarism of anorexia

Roque Catarina , Sousa Santos Francisco , Sequeira Duarte João

A 30-year-old male was admitted to the neurotraumatology ward after head trauma with cerebral concussion, subdural & subarachnoidal haemorrhage. The Endocrinologist was called to evaluate high urinary debits. The patient was healthy until 4 years before admission. He enrolled on variate patterns of alimentary restriction that resulted in the loss of 28 kg. Since then he had visited multiple doctors (Cardiology, Haemathology, Psychiatry, Gastroenterology, Urology, Endocrino...

ea0090p747 | Reproductive and Developmental Endocrinology | ECE2023

Post-Menopausal Hyperandrogenism Secondary to an Ovarian Cause – When Surgery is not An Option

Antunes Carolina , Guia Lopes Leonor , Calvo Paula , Sousa Santos Francisco , Sao Pedro Veronica , Sequeira Duarte Joao

Introduction: Hyperandrogenism is a relatively common medical condition, however severe post-menopausal hyperandrogenism should raise suspicion of a malignant etiology and prompt clinical evaluation. Furthermore, androgen excess has also been associated with severely decreased quality of life. As such, identification of its cause and adequate treatment should not be delayed.Case Report: We report a case of a 66-year-old woman, who had a 5-year history of...

ea0041ep258 | Clinical case reports - Pituitary/Adrenal | ECE2016

Thyrotoxicosis leading to adrenal crises reveals primary bilateral adrenal lymphoma – case report

Roque Catarina , Fonseca Ricardo , Bello Carlos , Sousa Santos Francisco , Capitao Ricardo , Vasconcelos Carlos

Introduction: Amiodarone use may be associated with secondary severe organ dysfunction. Thyrotoxicosis develops in 15% cases. Primary bilateral adrenal lymphoma is a rare malignancy. If frequently presents bilaterally and with symptoms of adrenal insufficiency. Symptomatology for both conditions is nonspecific, especially in the elderly, and a high suspicion index is necessary for appropriate diagnosis.Case report: A 78 year old female presented to the e...

ea0041ep635 | Endocrine tumours and neoplasia | ECE2016

Thyrotoxicosis leading to adrenal crises reveals primary bilateral adrenal lymphoma – case report

Roque Catarina , Fonseca Ricardo , Bello Carlos , Capitao Ricardo , Sousa Santos Francisco , Vasconcelos Carlos

Introduction: Amiodarone use may be associated with secondary severe organ dysfunction. Thyrotoxicosis develops in 15% cases. Primary bilateral adrenal lymphoma is a rare malignancy. If frequently presents bilaterally and with symptoms of adrenal insufficiency. Symptomatology for both conditions is nonspecific, especially in the elderly, and a high suspicion index is necessary for appropriate diagnosis.Case report: A 78 year old female presented to the e...

ea0056p895 | Clinical case reports - Thyroid/Others | ECE2018

Hypergonadotropic hypogonadism secondary to vanishing testes syndrome newly diagnosed in a 42-year-old male patient

Sousa Santos Francisco , Capitao Ricardo , Ferrinho Catia , Cunha Clara , Limbert Clotilde , Vasconcelos Carlos

Introduction: Cryptorchidism is the most common abnormality of male sexual development. Approximately 5% of cases of cryptorchidism are associated with vanishing testes syndrome. This rare condition occurs when an initially normal testicle that existed in fetal life subsequently atrophies. Affected patients usually have normal male external genitalia and hypergonadotropic hypogonadism. This disease is usually diagnosed in early childhood allowing for normal sexual development ...

ea0075t12 | Thyroid | EYES2021

Febrile Neutropenia due to methimazole: a case report

Silva Eugenia , Costa Ferreira Rute , Ferrinho Catia , Sousa Santos Francisco , Gouveia Clotilde , Oliveira Manuela , Duarte Sequeira

Background: Agranulocytosis is rare and may develop in 0.2–0.5% patients using antithyroid drug therapy (ATD). We report on a patient who developed febrile neutropenia two weeks after starting treatment with methimazole.Case Report: A 74-year-old female, with no relevant medical history, was diagnosed with Graves disease and treated with methimazole (30 mg/day). Three weeks after starting therapy she presented to the emergency department with compla...

ea0041ep449 | Diabetes (to include epidemiology, pathophysiology) | ECE2016

Stress hyperglycemia ratio as a marker of disease severity in hospitalized patients with acute pyelonephritis

Sousa Santos Francisco , Fonseca Margarida , Paosinho Ana , Cruz Ines , Sequeira Duarte Joao , Gouveia Clotilde , Mello e Silva Alberto , Vasconcelos Carlos

Introduction: Hyperglycemia (irrespective of the presence of diabetes) has been associated with worse outcomes in hospitalized patients with a variety of diseases, namely critical illness. It is been recently proposed that a relative hyperglycemia – Stress Hyperglycemia Ratio (SHR) – might be even better associated with disease outcomes. We studied how SHR correlated with various morbidity parameters in hospitalized patients due to acute pyelonephritis.<p class="...