Endocrine Abstracts

Background: Thyroidectomy is the common most common endocrine surgical procedure varies from Scalpel to Robotic transoral thyroidectomy. Colloid nodules are common and easily operable without any difficulty. We report a phenomenon where in the surgery becomes difficult and lead to complications if not thought with this phenomenon – colloid leak.Material and Method: The endocrine surgeon (Associate Professor) has been involved in training of over 25 ...

A 45-year-old lady from the Iodine - deficient Himalayan belt presented to us with a gradually progressive, painless goiter for more than 20 years. Such goiters were common in her village. She neither had symptoms of hyper/hypothyroidism nor any compressive symptoms. She had four living issues and as per her, the goiter would increase in size during the second trimester of each pregnancy. On examination, she had a huge thyroid swelling involving both lobes and isthumus, measur...

Background: Papillary Thyroid Carcinoma after Radioactive Iodine therapy for Graves’ disease is rare with few cases reported in literature. Presentation of case A 28 years gentleman, presented with multiple non tender swellings in the anterior aspect of the neck, insidious in onset, initially started as a single swelling in the left side of the size 3×2 cm. Three years prior, he received I 131 therapy for Graves thyrotoxicosis. Thereafter, developed hypothyroidism af...

Introduction: Pheochromocytomas (PHEOs) and paragangliomas (PGLs) are rare neuroendocrine tumors arising from chromaffin cells within adrenal medulla and autonomic paragranglia respectively. Recent evidences show that nearly one-third patients harbour germline mutation, namely in von Hippel-Lindau (VHL), REarranged during Transfection (RET), neurofibromatosis type 1 (NF 1) and succinate dehydrogenase (SDH) complex genes. However, the tumor morphology arising in various syndrom...

Aim: If ‘0’minute salivary cortisol (SALCORT_0) or cortisone (SALCONE_0) can predict normal post-synacthen cortisol response.Method: Baseline salivary sample was collected for 110 patients who had short synacthen test (SST) between 09:00 and 10:00 after hydrocortisone withdrawal for at least 24-hour. SST was labelled ‘pass’ if 30-minute serum cortisol was >450 nmol/l. Serum cortisol was measured by immunoassay whereas salivary cor...

Hypoparathyroidism post-thyroidectomy is a recognised complication and treated with calcium supplements, vitamin D, and rather recently with recombinant human parathyroid hormone therapy (teriparatide). We report a case of a 68-year-old female who developed refractory hypocalcaemia and hypomagnesaemia following thyroidectomy for a multinodular goitre. Her management was complicated by inflammatory bowel disease, surgically treated with an ileostomy in situ. Post-opera...

Objective(s): Single nucleotide polymorphism (SNP) in endothelial nitric oxide synthase (eNOS) G894T may affect the oxidative stress–response. Our objective was to examine G894T SNP eNOS genotype frequencies and its potential role with sperm motility in infertile men. Through this prospective controlled study in the Andrology Unit, we have enrolled infertile (n=70) and healthy (n=60) men. Sperm motion kinetics assessed by computer assisted semen analysis (CA...

Background: PCOS is a metabolic disorder associated with long-term health risks including insulin resistance, type 2 diabetes and dyslipidaemia. Metformin improves insulin sensitivity in PCOS and reduces circulating concentrations of markers of endothelial dysfunction, although it is unclear whether this translates into improvements in vascular function.Objective: To determine whether metformin therapy improves arterial stiffness and endothelial function...

Background: Patients with Addison’s disease (AD) and hypopituitarism have increased mortality, mainly from vascular disease. Both diseases are characterised by DHEA(S) deficiency yet this is not usually corrected. It is unclear whether treatment of these conditions with DHEA improves vascular risk.Objective: To evaluate the effects of DHEA on arterial stiffness and endothelial function in subjects with AD and hypopituitarism.M...

Background: Women with epilepsy may be at risk of developing PCOS, but it is unclear whether this is due to the disease or sodium valproate (VPA) therapy. We sought to determine androgenic status and cardiometabolic risk in women taking VPA monotherapy and compared these with subjects taking lamotrigine and healthy controls.Methods: Patients with epilepsy (age 18–43) with no known vascular risk were divided into 3 groups: VPA monotherapy (n=1...