Endocrine Abstracts

Background: Understanding hypoadrenal patients’ perceptions of adrenal crisis is vital in the prevention of this endocrine emergency. This study explored the experiences, knowledge and attitudes of hypoadrenal patients to adrenal crises and their prevention.Method: A cross-sectional qualitative study using structured interviews with patients with primary and secondary adrenal insufficiency. Data were analysed using thematic content analysis.<p c...

Introduction: ‘Primary Aldosteronism Detection, Diagnosis and Treatment Guidelines’ from the Endocrine Society (2008) recommend the use of the aldosterone- renin ratio (ARR) to detect primary aldosteronism (PA) in patient groups with high prevalence of PA. The guidelines suggest cut-offs specific to assay type and measurement units. The department of Clinical Chemistry and Metabolic Medicine at RLBUHT recently moved to a direct renin method (iSYS, Immunodiagnostics) ...

Introduction: Primary hyperparathyroidism (PHPT) results in alterations in carbohydrate metabolism, characterized by insulin resistance, hyperinsulinemia, and glucose intolerance.Objective: The aim of our study was to evaluate carbohydrate metabolism status in patients with PHPT.Methods: One hundred and nine patients with PHPT were investigated, healthy controls included 36 individuals matched by sex age and BMI (BMI=27±5 kg/m...

Background: Survival rate after childhood cancer has improved markedly and today more than 80% of patients with a pediatric malignancy will become 5-year survivor. During the past years it has become evident that many childhood cancer survivors suffer from late complications due to the radiotherapy and chemotherapy. It is established that the largest childhood cancer group, the acute lymphoblastic leukemia (ALL) survivors, exposed to cranial radiotherapy are at particularly hi...

Objective: To examine the association between severity of diabetic peripheral neuropathy and depressive symptoms and investigated the potential mediators of this association.Materials and methods: The Hospital Anxiety and Depression Scale (HADS) was used to assess depressive symptoms in 492 patients (mean age 62 years; 70% male; 72% type 2 diabetic) with diabetic neuropathy diagnosed by the Neuropathy Disability Score (NDS) and the Vibration Perception T...

Background: Child obesity has become a global health problem. The younger treatment starts the better outcome, but few treatment modalities are efficient. Whether obese children have an increased risk of neurodevelopmental disorders with worse treatment outcome is not studied. Objectives: To investigate the prevalence of ADHD, autism spectrum disorder (ASD) and other neurodevelopmental disorders in obese children. As a second objective gender differences were evaluated.<p ...

Introduction: Patient distress may be associated with a reduced quality of life (QoL), poor adherence to treatment and lower satisfaction with medical care. Best practice guidance recommends that distress is assessed at key points within the patient-care pathway. The aim of this study was to develop a pituitary-specific distress assessment tool.Method: Working with the Pituitary Foundation, a Wellbeing Survey was generated, comprising 36 pituitary-specif...

Background: Healthcare organisations worldwide are making use of patient-reported outcome measures (PROMs) to assess the impact of care received on patient’s health-related quality of life.Aim: A cross-sectional pilot study designed to evaluate the suitability and validity of a proposed pituitary PROM questionnaire pack for patients having pituitary surgery.Methods: The PROM pack comprised five questionnaires focused on sympto...

Introduction: Turner syndrome (TS) is the most common chromosomal abnormality in women. It occurs in 1/2500 to 1/3000 live-born females and results from a total or partial absence of the X chromosome. The clinical manifestations are diverse and TS is accompanied by multiple medical problems.Methods: We analysed retrospectively six cases of women with TS aged 20–66 years, treated at Endocrinology Department between 2003 and 2014, to describe endocrin...

Introduction: Autoimmune polyglandular syndromes (APS) are a heterogeneous group of disorders characterised by autoimmune activity against endocrine and non-endocrine organs. APS type depends on the combination of the diseases (APS1, APS2, and APS3).Methods: The study was conducted in 89 patients (70F and 19M) with APS aged mean 50.00±14.80 years, treated at Endocrinology Department between 2003 and 2015. We analysed clinical manifestations, results...