Endocrine Abstracts

Introduction: Emphysematous pyelonephritis(EPN) is a necrotizing infection of the renal parenchyma. Most cases occur in the setting of uncontrolled diabetes mellitus(DM). Presentation ranges from mild symptoms to shock and altered sensorium.Objective: To highlight efficacy of intensive, appropriate medical therapy in management of a rare but life-threatening infection.Case presentation: A 54-year old man presented with 3 week histo...

Introduction: Hypopituitarism refers to deficiency of one or more of the pituitary hormones. Hypopituitarism is often partial, thus replacement is individualized. Hormonal replacement improves quality of life in these patients.Objective: To describe the demographic characteristics and patterns of hormonal replacement in patients with hypopituitarism attending the Endocrinology clinic of a tertiary hospital in Lagos, Nigeria.Methods...

Introduction: Primary hyperparathyroidism is a common endocrine disorder. Symptoms at onset are often non-specific, thus the diagnosis tends to be overlooked.Objective: To highlight varying modes of presentation in primary hyperparathyroidism, the need for early recognition and treatment to prevent complications.Case Presentation: A 51-year old woman presented with complaints of back and lower limb pains of 7-year duration. She als...

Introduction: Functional Hypogonadism (FH) is a condition with low circulating serum testosterone and an intact Hypothalmo-pituitary-gonadal axis. The use of testosterone replacement therapy (TRT) use in FH is controversial based on the risk-benefit ratio. This report highlights the benefits of managing FH with TRT. Case Presentation: 47-year-old man presented to the endocrine clinic on account of poor erection, reductio...

Background: Gestational diabetes mellitus (GDM) is defined as glucose intolerance resulting in hyperglycaemia of variable severity, with onset or first recognition during pregnancy. GDM is a risk factor for dysglycaemia in later life. The objective of the study was to determine the impact of GDM on glucose tolerance in the short term post-delivery in a cohort of women who attended the Lagos University Teaching Hospital (LUTH)Study Design: This was a pros...

Introduction: Evaluation of sexual function is an integral part of general assessment of people with diabetes mellitus but this is rarely done. These comprises hypoactive sexual desire, erectile dysfunction (ED) and ejaculatory disorders. Presence of any of this will negatively impact on the sexual life of female partners.Objectives: To determine the frequency and determinants of sexual dysfunction among male patients with type 2 diabetes mellitus (T2DM)...

Background: T2DM has been described as a complex mix bag of insulin resistance and β-cell defects in varying proportions. Several works have described in quantitative terms insulin resistance among diabetics and its relationship with proteinuria, the relative contribution of β- cell dysfunction have largely been extrapolated. This work is an attempt to provide the missing link in our clime.Objectives: The study aims to describe, in quantitative...