Endocrine Abstracts

Although diabetic ketoacidosis (DKA) is recognized one of complications of acromegaly, it is very rare as only five cases are reported as a primary manifestation.A 43-year-old Japanese woman, who had never pointed out impaired glucose tolerance, had emergency admitted by DKA. Her plasma glucose was 440 mg/dl, HbA1c 15.7%, urinary keton body (3+), BGA pH7.257, then she was cured by rehydration of saline and continues intravenous insulin injection. She was...

Objective: The prevalence of primary aldosteronism (PA) occures in approximately 5–10% of patients with hypertension. Aldosterone induces fluid retention and a variety of angiopathy. We investigated the course of hypertension and renal function in the post-treatment period.Methods: Nine patients with PA were performed adrenalectomy and 21 patients were administered medications including mineralocorticoid receptor brocker. Blood pressure, serum potas...

A 48-year-old female was admitted to our hospital because of prolonged fever of unknown origin for three months, anemia, renal dysfunction, and hypercalcemia. There were no abnormal parameters of physical examination except fever of 37.6 °C, BMI of 26 5 kg/m2 after 11 kg of body weight loss in 2 months, and her blood pressure was 138/87 mmHg. C-reactive protein and WBC were 24.6 mg/dl and 10 900/μl, respectively. A/G ratio was elevated with total protein ...

A 31-years-old female was admitted to our hospital because of prolonged fever of unknown origin for 2 months. As she was originally diagnosed to have upper respiratory infection, antibiotics and antipyretic analgesics were prescribed. However, there is a recurrence of fever up to 39 °C without antipyretic analgesics. There were no changes in body weight or the size of clothes, and she did not notice any clinical features of Cushing’s syndrome. Her height and weight w...