Endocrine Abstracts

Background: Pituitary apoplexy is a rare but potentially life-threatening condition in which the pituitary gland undergoes infarction or haemorrhage, most commonly in the setting of an underlying tumour. We report on apoplexy of a diagnosed pituitary adenoma who presented with a sudden onset of headache, vomiting, ophthalmoplegia and vision loss. Neuroimaging revealed hemorrhagic pituitary mass. Trans-sphenoidal surgery was performed, which resulted in moderate neurological re...

Background: During the COVID-19 outbreak, there are rising concerns about long-term complications of COVID-19. On the other hand, discitis is a rare neurologic diagnosis, often delayed or missed due to the rarity of the disease. Patients usually present at an average age of 69 years with a history of diabetes or with a systemic infection. The lumbar spine is the most frequent site of infection (54%), and the cervical is the least at 10%. This is a case of post-COVID-19, diabet...

Introduction: Hyponatremia (defined as a serum sodium level <135 mmol/l), is seen in in 15–30% in hospital setting, especially in intensive care units. Certain drugs (e.g.Thiazides diuretics) used in everyday clinical practice, may induce hyponatremia, more frequently in elder women.Case report: A 76-year-old woman presented at emergency unit with complaints: physical weakness, nausea, vomiting, extreme fatigue and abdominal pain. She was under ...

Introduction: Adrenomyeloneuropathy (AMN) is a form of X-linked adrenoleukodystrophy (X-ALD) a rare inherited disorder (estimated prevalence 1:20 000 to 1:50 000) characterized by the accumulation of very long chain fatty acids (VLCFA) and affects mainly the nervous system white matter and the adrenal cortex and nearly 100% penetrance in males. Widely varying phenotypes and prognoses often co-occur in a single kindred.Methods: We report a case diagnosed ...

Background: Latent autoimmune diabetes of adults (LADA) constitutes 5–10% of the population with diabetes. Early diagnosis of LADA prevents misdiagnostification of type 2 diabetes and helps in the optimal treatment of patients, while maintaining a residual B cell function and delaying the time of their destruction.Aim: The aim of the study identifying groups with higher risk of LADA in an Albanian population.Material and metho...

Background: Prolactin hyper secretion is the most common endocrine abnormality due to hypothalamic–pituitary disorders. PRL is the hormone most commonly secreted in excess by pituitary adenomas.Materials and methods: A retrospective study was performed during the period 1998–2007. The diagnose are based on objective examination, hormonal dosage, MRI.Results: During these time were diagnosed 98 cases with hyperprolactinemi...

Introduction: Papillary Thyroid Carcinoma is the most frequent malignant tumour of the thyroid gland. It usually progresses slowly and is rarely metastatic. On the other side, fibromatosis are usually benign tumours with infrequent malignant appearances, which affect musculoaponeurotic structures. The aetiology remains unclear, although various possible factors are linked to it such as trauma, genetic predisposition, β-catenin heterozygous mutation, hormone disbalance etc...

Introduction: The trio of severe hypertriglyceridemia, acute pancreatitis and diabetic ketoacidosis (DKA) is a rare occurrence. Previous cases have presented DKA as the initial factor, contributing to subsequent hypertriglyceridemia and pancreatitis. Moderate hypertriglyceridemia is commonly observed in DKA but severe hypertriglyceridemia is very rarely reported.Case report: We report a case, male 29 years old, diagnosed with hypertriglyceridemia 3 years...

Background and aims: Diabetes mellitus (DM) is a chronic, metabolic disease that is spreading rapidly around the world. Various studies have shown the association between DM and oral health. The aim of this study was to evaluate the knowledge patients with diabetes have regarding the impact of diabetes mellitus on oral health; the role of oral hygiene care and dentists follow up.Methodology and methods: The survey research was taken in 79 Albanian patien...

Introduction: Infundibulo - hypophisitis is a rare type neuroendocrine disorder characterized by autoimmune inflammation and various pituitary disfunction. It currently has no clear diagnosis criteria.We present the 26 years–old women, first diagnosed with infundibular neurohypophisitis with clinical Diabetes Insipidus and later with other metabolic disorders.Case description: The patient, female, 26 years old came in the emergency room with extrem...