Searchable abstracts of presentations at key conferences in endocrinology

ea0049ep456 | Diabetes (to include epidemiology, pathophysiology) | ECE2017

Response to stroke in diabetic versus non-diabetic patients. Should Diabetes education systematically include advise on stroke symptoms and the correct response to them?

Gonzalez-Lazaro Paloma , Silva-Fernandez Julia , Garcia-Ruiz Rafael , Garcia-Ruiz Rosa , Gomez-Alfonso Francisco Javier , Del Val-Zaballos Florentino , Torres-Arroyo Belvis , Gonzalez-Pereira Carolina

Introduction: Stroke is the second cause of death in the world and the first cause of disability. It is also the second cause of Diabetes-related death. The success of reperfusion therapies is time-dependent, with most delays being patient-related. We investigated the response to stroke in diabetic patients (DM), as their risk of stroke is increased by 1,8-6 times.Material and Methods: Consecutive patients with acute stroke or transient ischemic attack w...

ea0056p72 | Adrenal medulla | ECE2018

Genetics in pheochromocytoma and paraganglioma: a case series

Gonzalez Lazaro Paloma , Contreras Pacual Cristina , Silva Fernandez Julia , Torres Arroyo Belvis , Javier Gomez Alfonso Francisco , Del Val Zaballos Florentino , Gomez Garcia Ines , Garcia Manzanares Alvaro

Introduction: In most patients with familial history of pheochromocytoma/paraganglioma, leads in the majorty of cases to a postive genetic testing for mutations, and what’s more in those patients with no familial antecedents, about 10–25% carry a mutation in one related gene. In these cases other aspects like, bilaterality, multiplicity or location must be taken into account.Objective: The objective of the study was to discuss the importance of...

ea0056p761 | Neuroendocrinology | ECE2018

Recurrence of hyperprolactinemia after dopamine agonists withdrawal

Contreras Pascual Cristina , Gonzalez Lazaro Paloma , Silva Fernandez Julia , Gomez Garcia Ines , Maria Torres Arroyo Belvis , del Val Zaballos Florentino , Javier Gomez Alfonso Francisco , Garcia Manzanares Vazquez Alvaro

Introduction: Prolactinomas are the most common tumors among functional pituitary adenomas and they constitute 40% of all pituitary tumors. Dopamine agonists (DA) are considered the primary treatment of prolactinoma. DA can lead to complete remission (including eradicacion of the tumor), allowing discotinuation of treatment. So far, there aren’t clinical criteria with sufficient predictive value for long-term remission.Objective: To assess the effec...

ea0063p129 | Diabetes, Obesity and Metabolism 1 | ECE2019

Long term functional prognosis is worse in patients with chronic hyperglycemia

Silva-Fernandez Julia , Garcia-Ruiz Rafael , Gomez-Alfonso Francisco Javier , Del Val-Zaballos Florentino , Torres-Arroyo Belvis , Gonzalez-Lazaro Paloma , Contreras-Pascual Cristina , Montalban-Mendez Critina , Gomez-Garcia Ines

Diabetes and acute hyperglycemia are known to increase stroke volume and disability in stroke patients, and deliver worse outcomes after reperfusion therapies. Chronic glycemic status has recently been linked to stroke functional outcome, but its impact on long term prognosis of stroke has rarely been studied. We conducted a study to investigate the impact of glycosylated hemoglobin (HbA1c) levels on functional outcome 1 year after stroke.Methods: Patien...

ea0063p373 | Thyroid 1 | ECE2019

Histological characteristics in thyroid carcinoma: our experience in the last fifteen years

Torres Arroyo Belvis , Gonzalez Lazaro Paloma , Silva Fernandez Julia , Javier Gomez Alfonso Francisco , Del Val Zaballos Florentino , Contreras Pascual Cristina , Garcia Manzanares Alvaro , Lopez Iglesias Maria , Gomez Garcia Ines

Background and objective: The incidence of differentiated thyroid carcinoma (DTC) is increasing worldwide. Due to a increased use of improved radiological techniques, especially ultrasound. This study aims to analyze histological characteristics of DTC diagnosed in our hospital in the last fifteen years.Patients and methods: It is a restrospective descriptive study. We have included all operated patients in our center between 2001 and 2015 with a final b...

ea0063p904 | Diabetes, Obesity and Metabolism 3 | ECE2019

Case report: Bullous pemphigoid in a patient with type 2 Diabetes on treatment with linagliptin

Gonzalez Lazaro Paloma , Contreras Pascual Cristina , del Val Zaballos Florentino , Silva Fernandez Julia , Torres Arroyo Belvis , Javier Gomez Alfonso Francisco , Garcia Manzanares Vazquez de Agredos Alvaro , Gomez Garcia Ines

Introduction: The association of bullous pemphigoid (BP) with the use of dipeptidyl-peptidase 4 (DPP-4) inhibitors among patients with diabetes has recently emerged. The risk of developing BP during treatment with new DPP-4 inhibitor agents like linagliptin is yet to be established. The clinical features and the prognostic outcomes of patients with DPP-4 inhibitor-associated BP are yet to be established.Objective: To report a case of BP on a patient with...

ea0049ep11 | Adrenal cortex (to include Cushing's) | ECE2017

Posterior reversible encephalopathy syndrome (PRES) in a patient with primary aldosteronism

Silva-Fernandez Julia , Val-Zaballos Florentino Del , Gomez-Alfonso Francisco Javier , Gonzalez-Lazaro Paloma , Torres-Arroyo Belvis , Garcia-Ruiz Rafael , de Agredos Alvaro Garcia-Manzanares Vazquez , Lopez-Iglesias Maria , Gomez-Garcia Ines

Posterior reversible encephalopathy syndrome (PRES) is a neurological disorder characterized by varied neurological symptoms. There are two leading theories regarding the pathophysiology: hypertension crisis and endothelial dysfunction.Case reportWe report the case of a 42-year-old patient with history of hypertension. She presented to the emergency department with headache and bilateral loss of vision. She described one previous e...

ea0049ep955 | Pituitary - Clinical | ECE2017

Gambling and cabergoline

Silva-Fernandez Julia , Gomez-Alfonso Francisco Javier , Del Val-Zaballos Florentino , Torres-Arroyo Belvis , Gonzalez-Lazaro Paloma , de Agredos Alvaro Garcia-Manzanares Vazquez , Lopez-Iglesias Maria , Garcia-Ruiz Rafael , Gomez-Garcia Ines

Introduction: A link between Dopamine agonists and development of impulse control disorders is well recognized in the field of neurology. A similar finding in endocrine patients is emerging.Case report: We report the case of a 38-year-old man with pathological addiction to gambling associated with low dose cabergoline treatment for a mixed growth hormone (GH) and prolactin (PRL)-secreting pituitary adenoma. At the age of 29 he ...

ea0056p691 | Clinical case reports - Pituitary/Adrenal | ECE2018

Prolonged QT intervals in a patient with empty sella and isolated ACTH deficiency.

Silva-Fernandez Julia , Gomez-Alfonso Francisco Javier , Martinez-Mateo Virgilio , Val-Zaballos Florentino Del , Torres-Arroyo Belvis , Gonzalez-Lazaro Paloma , Contreras-Pascual Cristina , Garcia-Ruiz Rafael , Agredos Alvaro Garcia-Manzanares Vazquez de , Gomez-Garcia Ines

Introduction: Adrenal crisis is a life-threatening emergency, however, the relation between adrenal crisis and life-threatening arrhythmia is not known. We describe the case of a patient with adrenal crisis and arrhythmia with prolongation of QT interval.Case report: A 56-year-old woman was admitted to our hospital because of syncope. She reported having had similar episodes in the last year. She had no previous diagnoses and was not receiving any treatm...

ea0056p799 | Pituitary - Clinical | ECE2018

Severe hypernatremia resulting in a locked-in syndrome

Silva-Fernandez Julia , Garcia-Ruiz Rafael , Javier Gomez-Alfonso Francisco , Del Val-Zaballos Florentino , Torres-Arroyo Belvis , Gonzalez-Lazaro Paloma , Contreras-Pascual Cristina , Garcia-Manzanares Vazquez de Agredos Alvaro , Gomez-Garcia Ines

Introduction: Osmotic demyelination syndrome (ODS) is a well described, potentially devastating consequence of rapid alterations in plasma osmolality, classically occurring secondary to the excessively rapid correction of chronic hyponatraemia. We describe a case of diabetes insipidus (DI) resulting in a Locked-in syndrome (LIS) caused by a rapidly developing severe hypernatremia.Case report: A 43-year-old woman was admitted to the Internal Medicine ward...