Endocrine Abstracts

Intravascular Large B-Cell lymphoma (IVLBCL) is an extremely rare type of non-Hodgkin lymphoma involving the growth of lymphoma cells within the vessel lumen without lymphadenopathy. As disease has various modes of presentation and is exceptionally rare, IVLBCL is often diagnosed postmortem. Herein, we report a case of IVLBCL with hypopituitarism, an extremely rare complication, that was successfully treated with chemotherapy. 60 years old woman noticed redness of the abdomen,...

A 43-year-old woman received the CoronaVac COVID-19 vaccine produced by Sinovac Biotech in September 2021. 1 month after the last dose of vaccine (10/2022), she developed pain in her right neck, palpitations, and fever. Laboratory studies revealed severe thyrotoxicosis (TSH - 0.1 mIU/ml, high FT4) and increased ESR - 59 mm/h; Ultrasound showed an asymmetric thyroid due to enlargement of the hypervascular right lobe. The left lobe was intact. She was diagnosed with subacute thy...

A 54-year-old female presented with muscle cramps and arterial hypertension. She was taking spironolactone 25 mg for hypertension. Her K+ level at first visit was 2.5 mmol/l. She was recommended to stop spironolactone, start potassium suplements, and measure Aldosterone, Renin, and K+ levels after 4 weeks. The Patient is a medical doctor. By her own decision CT of the abdomen was performed that showed 6.5 cm mass in left adrenal gland. The density was +28 HU. Some ...

19 years-old female was diagnosed with thyrotoxicosis for the first time in 2015; Severe hypothyroidism developed after 1 month thiamazole therapy, therefore medication was stopped and the patient was prescribed L-T4 that resulted in improvement of thyroid function tests. L-T4 was finally withdrawn and TSH returned to normal. Since then TSH was constantly monitored and the levels were normal. In 01/2020, the patient was presented with complains about increased heart rate, emot...

A patient, 24 y/o male, presented with the regular occurrence of severe hypertension for past two years: 150-170/100 mmHg. He complained of occasional vertigo, fatigue, and rare muscle cramps. The laboratory findings showed marked hypokalemia–2.7 mmol/l. Thyroid function tests, creatinine, magnesium levels were normal. Heart US showed septal thickening. He had been taking spironolactone 50 mg/day according to the prescription of his cardiologist for the last 2 weeks. Base...