Endocrine Abstracts

Diet and physical activity are éssensiels in support of diabetes mellitus (DM) as well as medical treatment.Aim: Evaluate the results of diet and physical activity on anthropometric and metabolic parameters of T2DM patients untreated population and methodology. 30 newly diagnosed T2DM patients (20W and 10 M; mean age 56.23±0.96 years were placed under hygienodietetic rules. Each patient underwent a clinical examination specifying TT, BMI, and m...

Introduction: Abnormalities of midline (AML) can be isolated or to be associated to secretory pituitary abnormalities that reflect a developmental defect of the hypothalamic pituitary (HP) region.Aim: Find AML in GH deficiency (GHD) and see their relationship with the appearance of the HP region and the severity of hypopituitarism (I P).Population and methodology: 160 children (141 ♂, ♀ 19) (IGH) underwent a clinical ex...

Introduction: Hyponatraemia is the most frequent electrolyte disturbance in clinical practice. It is encountered in isolation or as a complication of other medical conditions. The classification of hyponatraemia by volume status and severity – mild (125–134 mmol/l), moderate (115–124 mmol/l), and severe (<115) is of significance both prognostically and as a means of guiding management.Methodology: A retrospective review was carried out...

Background: It is estimated that 1-6% of patients with a pituitary adenoma develop ocular nerve palsies. These are primarily due to tumour extension into the cavernous sinus and most commonly affect the 3rd cranial nerve. Because of its sheltered position within the sinus, the 6th cranial nerve is rarely affected. When this does occur, it most commonly results from ischemic neuropathy secondary to diabetes, hypertension or mononeuritis multiplex.<p cl...

Successful embryo implantation requires changes in endometrial gene expression of biomarkers which contribute to uterine receptivity to facilitate blastocyst attachment. Osteopontin (OPN), expressed at the maternal–foetal interface may facilitate implantation in processes, such as cell adhesion, migration and angiogenesis which require OPN signalling via CD44 and integrin receptors. As coordinate expression of OPN and receptors is shown to be cycle-dependent and up-regula...

Objective: A review of the efficacy and safety of radioiodine treatment for Graves’ disease.Methodology: Patients were identified following a search of the nuclear medicine departmental database. Consecutive patients who had radioiodine in 3-year period from January 2009 to December 2011 were included in the audit. Information was obtained from medical notes, blood results and nuclear medicine database. Data was analysed using Microsoft Excel.<p...

Background: An 81-year-old gentleman presented to his GP with a 2 week history of reduced appetite, lethargy and 2–3 kg weight loss over the last month. On routine bloods, his potassium was noted to be 2.2 mmol/l. He was being treated in the community with indapamide, losartan and amlodipine for hypertension. He was admitted to hospital for IV replacement. However, he had persistent hypokalaemia (<2.9 mmol/l) for 3 days despite appropriate replacement and suspension ...

Background: Spondyloarthritis is a chronic inflammatory rheumatic disease which may be associated with different comorbidities such as glucose intolerance.Objectives: Determine the frequency of impaired fasting glucose in a population of patients with spondyloarthritis.Methods: We performed a cross-sectional study including 50 patients with spondyloarthritis (SA) diagnosed according to ASAS criteria. Fasting glucose was measured fo...

Introduction: Pseudoxanthoma elasticum (PXE), a multisystem heritable disorder, is characterized by ectopic mineralization of soft connective tissues. It is an autosomal recessive disorder in which mutations in the ABCC6 gene result in low levels of inorganic pyrophosphate (PPi).In its classic form, PXE is a late-onset, slowly progressing disease, and the major clinical problems relate to development of vascular complications, including hypertension, int...

Introduction: Peutz-Jeghers syndrome (PJS) is a rare familial disorder with an incidence of one in 12–30,000 live births characterized by mucocutaneous pigmentation, gastrointestinal and extra gastrointestinal hamartomatous polyps and an increased risk of malignancy.Case presentation: We report a 22-year-old female hypothyroid since age of 4, type 1 diabetic since age of 11, who presented with melaena. Pigmentation of the buccal mucosa, multiple lip...