Endocrine Abstracts

Vitamin D deficiency is associated with the development of some cancers and in vitro 1,25-dihydroxyvitamin D (1,25D) reduces cell proliferation. We suggest that modification of tissue specific immune responses, as a consequence of local synthesis of 1,25D, may be key. To assess the impact of serum 25D on the risk of bladder cancer we conducted a systematic review. To test our hypothesis, expression of vitamin D signalling components and the synthesis of 1,25D were exa...

Introduction: Cystic lesions of the adrenals are rare and they may develop asymptomatically for a long period of time. Females seem to be more affected and lesion is typically unilateral.Aim: We report a case of young female case incidentally found with a large adrenal pure cystic mass.Case data: A 24-year non-smoking female patient with regular menses since the age of 14 complained of mild abdominal pain for a few days without cor...

Introduction: Growth hormone (rhGH) is an effective treatment for short children born small for gestational age (SGA) who fail to demonstrate catch-up growth by 2–4 years of age. This children usually do not have classical GH deficiency, but either low GH secretion or reduced sensitivity to GH. The goals of therapy are to achieve a normal height in early childhood and an adult height within the normal target range.Objectives: Evaluation of efficacit...

Neurofibromatosis 1 (NF1) is a rare disease determined by mutations in the RAS-MAPK pathway. It can cause precocious or delayed puberty.Case 1: A 11 years 9 months old girl known with Neurofibromatosis – Noonan Syndrome (NF-NS) was admitted for severe growth deficit (-5.14 SDS). She had over 20 café au lait spots, hypertelorism, pterigium colli, B1 P1. At 18 months she had had surgery for pulmonary stenosis and after that a left ventricular tum...

Cushing’s syndrome (CS) during pregnancy is a rare metabolic condition with only a few cases reported in the literature. Misdiagnosis of CS is common because of the overlapping features of fatigue, weight gain, striae, and emotional changes that occur during normal pregnancy. The clinical presentation together with laboratory and imaging findings help to make a diagnosis. However, changes in maternal hormones and their binding proteins complicate assessment of the normal ...

Introduction: The most common cause of Cushing’s disease is ACTH secreting tumours of the pituitary gland. It is associated with high morbidity and mortality. Pasireotide, a potential therapy, has a unique, broad somatostatin-receptor–binding profile, with high binding affinity for somatostatin-receptor subtype 5.Case report: We present the a 40-years-old man diagnosed in 2005 with Cushing’s Disease for which a left adrenalectomy was perfo...

Background: Vitamin D deficiency – a common condition in infants without supplementation – leads to a variety of health impairments.Objectives: To assess 25-OH-vitamin D (VD) status in infants with prolonged hospitalisation, without direct exposure to sunlight.Materials and methods: Twenty-two infants (mean age 6 years 3 months), admitted into Recuperation Department of a Children Hospital for nutritional rehabilitation, ...

Background: Hypothyroidism is defined as an elevated TSH (thyroid-stimulating hormone) and/or decreased free thyroxine (FT4) levels. Levothyroxine is now one of the most widely prescribed medications. However, treatment indications are controversial in subclinical hypothyroidism, defined as high TSH with normal T4 levels. Methods: We performed a cross-sectional study reviewing the blood samples received in our Laboratory for TSH determination during the ...

Introduction: The most common cause of hyperthytoidism is considered to be Graves disease (also known as Basedow disease), an autoimuune disorder. The most recent technique developed for measuring the tissue elasticity is considered to be sonographic elastography.Aim: This study was conducted in order to determinate if any significant changes could be encountered in the elastographic patterns of the different evolutive stages of Graves’ disease.</p...

Introduction: Autoimmune thyroid diseases are among of the most important causes of thyroid disfunction. Chronic Autoimmune Thyroiditis (CAT)and Graves’ Disease (GD) are the major causes of hypothyroidism and hyperthyroidism, respectively.Aim: The aim of this studywas to evaluate the efficiency of strain elastography in the differential diagnosis of Chronic Autoimmune Thyroiditis (CAT) and Graves’ disease.Material:...