Endocrine Abstracts

Anamnesis: We report the case of a 54-year-old man who consulted for weight loss. He had been diagnosed with diabetes more than 20 years ago with good glycemic control (currently HbA1c 6.9%), no obesity, hypertension, or dyslipidaemia. A history of chronic pancreatitis and retinitis pigmentosa with eyelid ptosis. He maintains regular treatment with metformin, sitagliptin, repaglinide, ASA, Kreon and Pregabalin.Complementary testIn reference to the chief complaint, there had no...

Introduction: PTC patients with lymph node (LN) metastases of greater volume (in>5 LN and/or with larger metastases >5mm, hereinafter N1>5) usually receive radioiodine (RAI). Some guidelines suggest carrying out an evaluation of the response to surgical treatment (RST), recommending lower RAI dose (activity) in patients with good RST.Objectives: a)To evaluate the RST in patients with PTC and N1>5 b)To evaluate the disease-free-survival (D...

Background: Post surgery hypocalcemia is the most common sequel of thyroidectomy. An accurate prediction of hypocalcemia in the immediate postoperative period would enable the selection of patients for appropriate treatment and facilitate early discharge. Objective: This study aims to investigate the prevalence of hypocalcemia after thyroidectomy and to identify potential risk factors. Methods: This is a retrospective cohort study ...

Ectopic ACTH is rare and represents about 10% of causes of Cushing’s syndrome. Associated tumours are neuroendocrine in origin and include small cell lung cancer, carcinoid tumours, and medullary carcinoma of the thyroid. In this report, we describe a rare case of ectopic ACTH due to a primary pulmonary carcinoid tumour.A 29 years old male was diagnosed with hypertension 18 months prior to presentation. On ex...

Ectopic ACTH is rare and represents about 10% of causes of Cushing’s syndrome. Associated tumours are neuroendocrine in origin and include small cell lung cancer, carcinoid tumours, and medullary carcinoma of the thyroid. In this report, we describe a rare case of ectopic ACTH due to a primary pulmonary carcinoid tumour.A 29 years old male was diagnosed with hypertension 18 months prior to presentation. On ex...

Introduction: Acromegaly is a rare, progressive disease characterised by excess growth hormone. The recommended treatment is surgery. Radiotherapy and somatostatin analogues are used as adjuncts. The risk of post-radiotherapy osteosarcoma is 0.01% to 0.03% among all irradiated patients. We report a case of radiation-induced osteosarcoma that developed 22 years after radiotherapy for acromegaly.Case report: In 1997, a 53-year-old gentleman with acromegaly...

Introduction: Some studies suggest a possible link between autoimmune thyroid disease (AITD) and thyroid cancer (TC). However, existing data is inconsistent, and no consensus exists regarding this question.Objective: The aim of this study was to analyze the association between TC and AITD, namely Hashimoto’s thyroiditis (HT) and Graves’ disease (GD).Methods: We conducted a retrospective and observational study of all pati...

Introduction: Primary bilateral macronodular adrenal hyperplasia (PBMAH) is a rare entity. Up to 1/3 of patients with incidental bilateral adrenal nodules presents biochemical evidence of hypercortisolism responsible for obesity, diabetes mellitus (DM), arterial hypertension or dyslipidemia. Its insidious course and nonspecific signs explain the underdiagnosis of this entity.Objective: To describe the case of a patient with metabolic syndrome (MS) with h...

Introduction: Malnutrition and sarcopenia are interrelated and frequent in hospital settings, being related to a higher morbimortality. CIPA nutritional screening (performed at the Hospital Universitario Nuestra Señora de Candelaria) is positive when one or more of the following criteria is met: a) decreased oral intake in 72 h (<50%), b) albumin <3 g/dl, and c) BMI <18.5 g/m2 or mid-upper arm circumference (MUAC) ≤ 22.5 cm.<p class="abste...

Introduction: Morbid obesity is a highly prevalent disease, with bariatric surgery being a fundamental pillar in its treatment.Objectives: To analyze the results of weight loss at 5 years in patients operated by gastric bypass and sleeve at the Regional University Hospital of Malaga.Methods: This is a retrospective observational study, where 104 patients with morbid obesity who underwent bariatric surgery at the Regional University...