Endocrine Abstracts

Until 2002 less than 200 cases of primary hyperparathyroidism identified during pregnancy were reported. We present a case of primary hyperparathyroidism discovered during pregnancy in a 28-year-old woman. The disease was suspected due to a hypercalcemia discovered during a routine blood assessment during pregnancy (calcium=11 mg/dl, phosphorus=2.4 mg/dl). The patient was investigated in the Clinic of Endocrinology and the diagnosis of primary hyperparathyroidism was made on b...

Introduction: Intraoperative quick PTH (iqPTH) monitoring is important in the treatment of primary hyperparathyroidism (pHPTH), allowing, together with preoperative localisation, the switch from routine bilateral neck exploration to limited gland excision.Aims: We checked the advantage of iqPTH for improving the cure rate of patients operated for pHPTH by using minimally invasive surgery (MIS).Materials and methods: Retrospective s...

The secretion of adipocytokines is influenced by fat mass, but also by various situations related to acute stress (food deprivation, or critical state related to inflamatory or infectious syndromes). Adipocytokinic secretory profile could be therefore used for the diagnosis of the type of critical state, as well for the evolution and survival prognosis of patients. The modifications of adipocytokinic markers during the first hours after surgical intervention are insufficiently...

Hashimoto’s thyroiditis is an autoimmnune condition most common in females but can be also found in children with a prevalence of 1.2%. When is associated with hypothyroidism, the growth delay is an important, but late symptom. We present the case of a 12-year-old boy presenting with small height for age (123 cm, <−3 S.D.), important weight gain and fatigue. He was the only child from parents of average height and had normal weight at birth (3300 ...

Introduction: Velocardiofacial syndrome (VCFS) also known as DiGeorge or chonotruncal anomaly face syndrome, is a rare genetic disease caused by a microdeletion in the long arm of chromosome 22, having a prevalence of approximately 1:7000 to 1:4000. VCFS has a wide spectrum of more than 200 physical manifestations including: cleft palate, heart and facial abnormalities, eye pathology, problems with feeding, including nasal regurgitation, middle-ear infections (otitis media), l...

We present the case of a patient diagnosed with panhypopituitarism at an adult age. The tenth child of a poor family, PA consulted the endocrinologist accompanied by his 65 year old mother. PA was 20 years old at the first consultation. He was, however, entrapped in the body of a 12 year old child, being only 139 cm tall and having no signs of puberty onset. He was slightly eunuchoid, with long limbs, due to delayed puberty, with micropenis and lack of androgen dependent hair,...

We investigated calcium and bone metabolism in a group of 123 institutionalized volunteers between 60 and 98 years old, 73 females and 50 males. 25OH-D3 was measured by an indoor RIA technique. 1.25(OH)2D3 was measured by HPLC, serum calcium by photocolorimetry, bone alkaline phosphatase by immunoenzymatic technique, whereas serum PTH and urinary deoxypyridinoline (DPD) were measured by IRMA. Almost all volunteers (92.6%) had low 25OH-D3</...

In order to investigate the relationship between Graves’ disease, its associated ophthalmopathy and smoking, we followed retrospectively a group of 270 patients with Graves’ disease (233 females and 37 males). Smoking incidence within this group was compared to that found in a control, thyroid disease-free group of 120 patients. The incidence of smokers was significantly higher in the group with Graves’ disease (145 out of 270, 54%) when compared to the control ...

Thyroid diseases are more frequent in women. We made a longitudinal study at 112 healthy pregnant women from Iasi county, Romania. The aim of study was to determine incidence and evolution of autoimmune thyroiditis in pregnancy and postpartum. The proceedings of study imposed to verify clinical aspect of thyroid, the volume of thyroid measured echographic, echostructure of thyroid, function of thyroid (TSH, FT4) and autoimmune modification of thyroid (anti-thyroid peroxidase a...

Gravitational stress influences bone mass. Adipose tissue represents a supplementary source of estrogens at postmenopausal women, via aromatization of androgens. We evaluated the importance of weight and fat tissue on bone mass at premenopausal or postmenopausal women in a cross-sectional study upon a group of 138 women between 25 and 77 ys old and with a BMI between 17.1 and 44.3 kg/m2. Fifty six women were menstruating, 15 were perimenopausal and 68 were po...