Endocrine Abstracts

Background: We present a rare case of a 64-year-old patient diagnosed with longstanding untreated Graves’ disease and co-occurrence of metastatic thyroid cancer. Very few cases are reported in literature where the thyrotoxicosis in due to the distant metastasis and optimal treatment remains challenging.Case Presentation: The patient came to the endocrine unit for thyrotoxicosis treatment. He was diagnosed with Graves’ disease and following trea...

Introduction: Hypopituitarism due to Sheehan′s syndrome is a rare complication and its diagnosis is often overlooked. The vast majority of people with hypothyroidism have primary hypothyroidism, often due to Hashimoto’s thyroiditis. Coexistence of hypopituitarism and primary hypothyroidism, may accelerate clinical manifestations, mainly those associated with hypothyroidism. Hashimoto′s Thyroiditis with concomitant hypopituitarism is rare but has been described...

Introduction: Friedreich ataxia (FA) is a multisystem autosomal recessive disease with progressive clinical course involving the neuromuscular and endocrine system. Individuals with FA have an increased risk of developing diabetes. In FA-associated diabetes, both insulin deficiency and insulin resistance have been reported. We present a case with FA, presented with diabetic ketoacidosis (DKA) as the first presentation of diabetes mellitus.Case Presentati...

It is well known nowadays the positive effect that early detection of prediabetes has in preventing and postponing the diabetes onset. The aim of our study is to explore the diabetes prevalence in Albania and to identify and stratify the population at risk for developing diabetes.Material and methods: A large scale multicentre screening was performed in Albania as part of a National Campaign. 15744 patients were consecutively recluted. The following data...

Background: The involvement of nurses in diabetes patient education has an important contribution in the improvement in the quality of care provided. Experience and knowledge in diabetes and its management are crucial for teaching patients with diabetes effectively.Material and methods: The aim of the study is to evaluate the effect of nurse Training Course in the improvement of the knowledge of diabetes among nurses. Ten Diabetes Education Unit’s n...

Introduction: A thyroid nodule discovered in a patient with Graves’ disease (GD) should be evaluated and managed according to guidelines. A subcentimetre incidental thyroid cancer founded in a patients with GD, without high-risk history, without suspicious sonographic (US) features has not been reported yet.Clinical case: A 40-year-old female patient, presented to our hospital with symptoms of thyrotoxicosis. On physical examination heart rate was 1...

Introduction: Metformin-associated lactic acidosis (MALA) is defined as a high anion gap metabolic acidosis with high circulating lactate levels and without hypoperfusion. It is associated with a mortality rate up to 50%.The reported frequency is 0.01–0.05/1000 patient-years, mostly in patients with predisposing factors (which affect its clearance or energy metabolism) such as altered renal function, congestive heart, hepatic and respiratory failure, concomitant medicatio...

Introduction: Drug-induced lupus erythematosus (DILE) is a variant of systemic lupus erythematosus that resolves within days to months after withdrawal of the drug, in a patient with no previous history of SLE.Case report: A 60-year-old female presented at Mother Teresa Hospital with toxic multinodular goiter. She received treatment with propylthiouracil and atenolol for a month, and she developed symptoms like malaise, muscle pain, shortness of breath, ...

Introduction: Thrombosis of the portal venous system is rare with the prevalence about 1% in the general population reported previously, difficult to diagnose and can be fatal. We report a case of previously-undiagnosed type 2 diabetes mellitus presenting as portal venous system thrombosis and reviewed the pertinent medical literature.Case presentation: A 54-year-old white female was admitted to our hospital with 10 days history of vague...

Introduction: Although psychiatric manifestations in the form of delirium, confusional states, and psychosis have been commonly reported in relation to hypoglycemia, association of hyperglycemia with psychiatric manifestations has been less commonly reported. Acute hyperglycemia is known to alter mood state and impairs cognitive performance in patients with diabetes mellitus. However, association of acute psychosis (in the absence of cognitive disturbances) with hyperglycemia ...