Endocrine Abstracts

Introduction: Diabetes mellitus is associated with an increased risk of osteoporotic fractures, which leads to an increased risk of disability and frailty.Aims: To assess the prevalence of frailty in type 2 diabetes and to analyze the relationship with bone mineral density (BMD) and Trabecular Bone Score (TBS), fracture risk and prevalent fractures.Methods: We carried out a cross-sectional study of 75 diabetic patients (65±7 y...

IntroductionAlemtuzumab is an anti-CD52 antibody, leading to lysis and transient depletion of T and B lymphocytes. Its therapeutic effect is mediated by the alteration in immune repertoire that accompanies subsequent lymphocyte reconstitution. It is mainly used for the treatment of relapsing–remitting multiple sclerosis (RRMS). Common side effects are autoimmune diseases, including thyroid disease (>40%), immune thrombocytopenia (IT...

Parathyroid carcinoma (PC) is very rare and difficult to differentiate from atypical parathyroid adenoma (AA). En-bloc surgical resection is recommended, but most cases are diagnosed after non-radical surgery, and it is recommended to expand it. Given the rarity of the cases, the difficulty in the histological diagnosis (HD) and the unpredictability of the evolution, we analyzed our experience with PC and AA.Material and methods: We conducted a ...

Introduction: ALS is a neurodegenerative disease with a high prevalence of malnutrition. Nutritional diagnosis is important because of its prognostic implication.Objective: To determine the clinical and morphofunctional characteristics in a series of patients with ALS.Materials and methods: Cross-sectional descriptive study of patients seen at the multidisciplinary ALS clinic of the Hospital Puerta del Mar (Cádiz).<p class...

Introduction: Obesity is a known risk factor for hypovitaminosis D and although several studies point out that higher adherence to the Mediterranean Diet (Diet-Med) is associated with higher dietary vitamin D intake, there are very limited data on the influence of Diet-Med on serum 25-Hydroxy Vitamin D (25OHD) levels. Our aim was to evaluate the relationship between adherence to Diet-Med and vitamin D status in obese patients.Material and Methods: Retros...

Background: Vitamin D (25(OH)D) deficiency is a global public health issue. An association with obesity and diabetes has been described in adult and paediatric populations. This study investigates the prevalence of 25(OH)D deficiency and its correlates in population of Emirati children and adolescents attending a large diabetes centre in the United Arab Emirates.Methods: Participants aged 4-19 years were selected based on diabetes status [type 1 diabetes...

A 37-year-old woman presented to ED with abdominal bloating and pain. Ultrasound abdomen showed a viable single intrauterine pregnancy at 24 weeks of gestation. Patient was surprised of the diagnosis as she had longstanding premature ovarian insufficiency (POI). She had stage 3B Hodgkin’s disease (HD) diagnosed at 14 years of age when she had BEAM chemotherapy (Carmustine, Etoposide, Cytarabine and Melphalan) followed by autograft bone marrow transplant for recurrent dise...

A 36-year-old lady presented at 26-weeks gestation with symptoms of palpitations, anxiety, tremors, and breathlessness. She had received the 1st dose of the mRNA vaccine (Pfizer) for Covid-19 a month prior and her symptoms started a couple of weeks after the vaccine. She was a gravida 4 para 2 with gestational diabetes diagnosed during previous pregnancies and also early on in the current pregnancy requiring insulin treatment maintaining excellent antenatal glycaemic control. ...

A 71-year-old man was diagnosed with poorly differentiated T4N0M0 gastric adenocarcinoma. He received neoadjuvant chemotherapy, followed by elective subtotal gastrectomy. Mean arterial pressure was maintained above 70 mmHg throughout the 5-hour operation. On post-operative day 3, the patient became confused, pyrexial, hypotensive with new-onset atrial fibrillation. CT head was unremarkable and CT chest/abdomen/pelvis (CAP) showed bilateral pleural effusions with normal adrenal...

Introduction: Fine-needle aspiration cytology (FNAC) of thyroid nodules can be associated with non-diagnostic (ND) results, despite the usage of ultrasound (US) guidance. It is recommended to repeat the FNAC because of the possible risk of malignancy in these nodules.Aim: To evaluate the influence of demographic, clinical and echographic characteristics in the recurrence of ND FNAC in a thyroid nodule.Methods: Retrospective review ...