Searchable abstracts of presentations at key conferences in endocrinology

ea0049ep41 | Adrenal cortex (to include Cushing's) | ECE2017

Silent pheochromocitoma – a rare case of adrenal incidentaloma

Martins Ana Filipa , Vale Sonia do , Martins Joao Martin

Introduction: Pheochromocytomas are rare tumors arising from adrenomedullary chromaffin cells. Pheochromocytomas are a serious clinical condition and undiagnosed cases are associated with increased unexpected cardiovascular mortality.Case report: A female Caucasian patient aged 52-year-old was referred to the endocrine department of a public central hospital because of an incidental right adrenal mass first found 3 years before during the work out of non...

ea0049ep853 | Clinical case reports - Pituitary/Adrenal | ECE2017

Ocult Cushing syndrome: (adicional) difficulties in hypercortisolism approach

Martins Ana Filipa , Martins Joao Martin , Vale Sonia Do

Introduction: Cushing syndrome (CS) result from inappropriate exposure to increased non regulated glucocorticoid levels. It remains challenging regarding diagnosis and management. Pituitary ACTH-secreting adenomas account for most of the cases if exogenous and paraneoplasic forms are excluded.Case report: A 45-year-old women was referred to the endocrine outpatient department because of obesity, muscular weakness, high blood pressure (HBP), diabetes ...

ea0049ep1012 | Pituitary - Clinical | ECE2017

Sheehan syndrome: Sequential hormone failure and late diagnosis

Costa Cristiana , Martins Ana Filipa , Araujo Alexandra , Vale Sonia do

Introduction: Postpartum infarction of the anterior pituitary, known as SheehanÂ’s syndrome, is a rare cause of hypopituitarism. In many cases, the hormones deficiency is sequential which implies late diagnoses.Case Report 1: A 51-year-old woman was observed because her mother had medullary thyroid carcinoma. She had no evidence of endocrine neoplasia. Nevertheless, she was experiencing fatigue, hair loss and dry skin for several months. Her history ...

ea0049ep1021 | Pituitary - Clinical | ECE2017

Thyrotropin secreting microadenoma – case report of a patient with goiter

Vale Sonia do , Martins Ana Filipa , Lopez-Presa Dolores , Costa Cristiana , Miguens Jose

Introduction: The prevalence of pituitary thyrotropin secreting tumors (TSH-omas) is 1-2 cases per million inhabitants, most of them being macroadenomas. The differential diagnosis may be challenging, especially for microadenomas.Case Report: A 50-year-old male was observed at the endocrinology department with multinodular goiter. He noticed progressive neck enlargement over the previous months but denied other complaints. There was no family history of ...

ea0035p56 | Adrenal cortex | ECE2014

Takotsubo cardiomyopapthy and panhypopituitarism: case report

Martins Ana Filipa , Martins Joao Martin , Vale Sonia do , Gomes Ana Raquel , Placido Rui

Introduction: Takotsubo cardiomyopathy or stress-induced cardiomyopathy (SICM) is a rare condition. Even more rare cases associated with glucocorticoid deficiency have been described.Case report: AAGM, a 74-year-old man was admitted to the inpatient Endocrine Department because of suspected panhypopituitarism. Six months before the diagnosis of SICM was established after an acute coronary syndrome episode with no lesions found in coronary angiography and...

ea0035p63 | Adrenal Medulla | ECE2014

Asymptomatic catecholamine-producing tumours in Von Hipple–Lindau disease

Martins Ana Filipa , Martins Joao Martin , Vale Sonia do , Gomes Ana Raquel

Introduction: Von Hippel–Lindau disease (VHLD) is an autosomal dominant neoplastic syndrome characterized by the development of multiple cancers and cists, including pheochromocytoma and islet cell tumors. Screening is mandatory for family members of index cases.Case report: A 23-year-old male Caucasian was referred to Endocrine Department because of the recent genetic diagnosis of VHLD during familiar screening. The mutation c.482G>A(p.Arg161GI...

ea0056p66 | Adrenal cortex (to include Cushing's) | ECE2018

Evaluation of cardiometabolic profile of patients submitted to unilateral adrenalectomy

Castro Raquel Vaz de , Costa Cristiana , Matos Tania , Quadros Catarina , Lopez Dolores , Vale Sonia do , Bugalho Maria Joao

Background and aims: It is known that unilateral adrenalectomy as treatment for autonomous secreting adrenal cortex adenomas effectively reduces cardiometabolic risk. Non-autonomous secreting adenomas are not expected to increase cardiometabolic risk, but this has not been thoroughly explored.We evaluated the blood pressure and glycemic profile before and after unilateral adrenalectomy for both autonomous and non-autonomous secreting adrenal cortex adenomas.<p class="abste...

ea0035p318 | Clinical case reports Thyroid/Others | ECE2014

Monomorphic ventricular tachycardia due to primary hyperparathyroidism: a case report

Gomes Ana Coelho , Vale Sonia do , Cruz Diogo , Martins Joao Martin , Martins Ana Filipa , Tavares Filipa , Santos Vera Costa , Colaco Ines , Pereira Guilherme , Guimaraes Tatiana , Oliveira Anabela

Introduction: Cardiovascular changes are rare but life-threatening consequences of primary hyperparathyroidism.Case report: A 53-year-old man, with past and family history of peptic ulcer, presenting with coronary heart disease and ischemic and dilated cardiomyopathy, treated with cardiac resynchronization. He was admitted to the emergency room due to sustained monomorphic ventricular tachycardia (MVT). Laboratory tests revealed primary hyperparathyroidi...

ea0049ep897 | Neuroendocrinology | ECE2017

The prevalence of colorectal cancer and colon polyps in acromegaly: thirty years’ experience of a tertiary referral center

Gomes Vania , Barreiros Luis , Barreiros Eduardo , Ferreira Florbela , Gomes Ana , Martins Ana Filipa , Osorio Ana Sofia , Wessling Ana , Silvestre Catarina , Reis Dinis , Nobre Ema , Carvalho Maria Raquel , Mascarenhas Mario , Vale Sonia do , Miguens Jose , Bugalho Maria Joao

Introduction: Several studies suggest a higher risk of colorectal cancer (CRC) and colon polyps (CP) in acromegaly, however there is still controversy regarding associated factors (AF) able to contribute for its development. Data on the prevalence of CRC and CP in Portuguese patients with acromegaly are limited.Objectives: To assess the prevalence of CRC and CP in acromegalic patients and compare to the normal Portuguese population. To determine the rele...