Endocrine Abstracts

Introduction: About 5% of the adult population has adrenal incidentaloma(AI) and its incidence increases with age. AACE guidelines recommend image and hormonal evaluation during 5 years in non functioning AI. The european’s guidelines advise against repeat evaluation in non-secretory AI that present with <4 cm and had benign features. According to recent studies, the risk of developing clinically relevant hormone secretion is <0.3%, in patients with previous non-f...

Introduction: The quality of life (QoL) of patients with Diabetes has been the subject of several studies worldwide. In Portugal, studies have shown that patients under intensive insulin therapy had worse results in QoL questionnaires. The introduction of interstitial glucose monitoring (IGM) appears to reduce the impact of insulin therapy on QoL.Objective: To assess whether IGM changes the quality of life of patients with diabetes, compared to the asses...

Introduction: Diabetes is a disease with great psychosocial impact and reduced quality of life (QoL), and psychosocial factors seem to be excellent predictors of clinical outcomes.Objective: Assess the relationship between the patient’s perception of diabetes management and its impact on QoL.Methods: Interview of patients with type 1 (T1D) and type 2 diabetes (T2D), using the ‘Appraisal of Diabetes Scale’ (ADS), a qu...

Introduction: Thyroid nodules have a high prevalence in the adult population (20-76%). In 2018, the American College of Radiology proposed an ultrasound classification score of thyroid nodules - Thyroid Imaging Reporting and Data System-TIRADS, with 88% of sensitivity and 49% of specificity to predict malignancy. Since then, several studies report sensitivity values of 70.6-97% and specificity of 30-98%. We pretend to compared TIRADS score with cytologic results based on Bethe...

Introduction and Objectives: Pheochromocytomas and paragangliomas are rare neuroendocrine tumors derived from enterochromaffin tissue, mostly catecholamine-producing, adrenal gland (PCC) or extra-adrenal paraganglia (PGL). We were struck by the high incidence of these in our health care area, so we decided to study them. The aim of this work is to evaluate the clinical characteristics and epidemiological factors of patients diagnosed with PCC or PGL.Mate...

Introduction: Even Though resection via transsphenoidal surgery is the optimal primary treatment for growth hormone (GH) secreting pituitary adenomas, medical therapy must also be considered when biochemical control after surgery is not achieved. The aim of our study was to describe the cure rates of acromegaly patients after different lines of therapy.Methods: A retrospective study (1971–2022) of 89 patients diagnosed with acromegaly was conducted....

Introduction: Type 2 diabetes (T2D) is a heterogeneous disease for which causal mechanisms are incompletely understood and subclassification may improve patient management. In the latest assessment of patients with adult-onset diabetes, Ahlqvist and colleagues (2018) defined five new subgroups: an autoimmune form, two severe forms (insulin-deficient and insulin-resistant diabetes) and two mild forms (obesity and age-related diabetes).Objectives:...

Introduction: Ultrasound guided Fine-Needle Aspiration (USFNA) of Thyroid is the gold standard for diagnosis of thyroid nodules. Nowadays, many patients are under anticoagulation and antiplatelet medication. Some of the rare complications of USFNA are haemorrhage therefore it’s not clear if performing thyroid USFNA in hypo-coagulated patients increase that risk of complications or if this medication should be stopped before the procedure. Additionally the influence that t...

Introduction: Prediabetes is a very prevalent disease. About 27.4% of Portuguese adults suffer from this condition. Prediabetes is defined as intermediate hyperglycemia state associated with the simultaneous presence of insulin resistance and β-cell dysfunction as diabetes, with increased risk of developing macro and microvascular complications. Approximately 7% of individuals with prediabetes will progress to diabetes per year. This study aims to characterize a populatio...

Introduction: Hypertriglyceridemia (hyperTG) may increase the risk of cardiovascular disease and values above 1000 mg/dl are a risk factor for pancreatitis, including non-fasting measurements. The American Heart Association suggested that providers could use nonfasting triglycerides >200 mg/dl to identify hyperTG states. When an elevated result is observed, a fasting triglyceride measure may be reassessed, with exception for extreme levels (for example approximately 1000 m...