Endocrine Abstracts

Objective: We present a 62-year-old male who had manifested with gynaecomastia to a surgeon. He was able to avoid mastectomy when it was found that his gynaecomastia was being caused by asymptomatic hyperthyroidism.Case report: A 62 years male presented to a surgeon with 6 months history of gradual enlargement of both of his breasts primarily for cosmetic reasons. The surgeon had planned bilateral mastectomies pending funding from the primary care trust....

Diabetic muscle infarction is an unusual complication of poorly controlled diabetes. It presents as an acute painful muscular swelling with difficulty in walking.A 49-year-old man with poorly controlled type 1 diabetes was admitted with a history of sudden painful swelling of the thigh. He was afebrile, with marked tender swelling and inability to extend his knee. His HbA1c 15.6%, FBC, CRP and CK were normal; autoantibodies, anticardio...

UNUSUAL PRESENTATION OF DIABETES FOOT ULCERAM Mousa, G Knight, S Muzulu, J R Rochester. Rotherham General Hospital, Moorgate Road, Rotherham S60 2UD.IntroductionPhalangeal metastases commonly display inflammatory symptoms that mimic an acute infection. We describe a rare case of bronchogenic carcinoma with metastases to the left 3rd and 4th toes, which presented as presumed diabetic foot ulceration.<p cla...

IntroductionPhalangeal metastases commonly display inflammatory symptoms that mimic an acute infection. We describe a rare case of bronchogenic carcinoma with metastases to the left 3rd and 4th toes, which presented as presumed diabetic foot ulceration.Case ReportA 74-year-old diabetic man presented with painful, inflamed and ulcerated left 3rd and 4th toes. A clinical diagnosis of infected diabetic toes was ...

Introduction: The diagnosis of the metabolic syndrome is less definite in children and adolescents compared to adults. The International Diabetes Federation (IDF) and National Cholesterol Education Program Adult Treatment III guidelines (NCEP ATP III) have proposed two different criteria for its diagnosis in these age groups. In this study we planned to compare these two criterias in detecting the metabolic syndrome in obese and overweight adolescents in a study group in North...

Introduction: The risk for thyroid malignancy is higher in subjects with Graves’ disease particularly papillary thyroid cancer (PTC). However, coincidence of both PTC and follicular thyroid cancer (FTC) in these subjects is rare. In this case report we present a subject with Graves’ disease with a pathological diagnosis of PTC and FTC having aggravated orbitopathy following remnant ablation.Case report: A 53-year-old subject was referred to our...

Introduction: The aim of this study was to determine the frequency and types of accompanying malignancies in Turkish subjects with differentiated thyroid cancer (DTC) residing in the northern region of Cyprus.Subjects and methods: We retrospectively analysed 567 subjects with a diagnosis of DTC in the Departments of Endocrinology and Nuclear Medicine.Results: Four hundred and forty-eight (79%) were females and 119 (21%) were males....

Iodothyronines stimulate neovascularization in tumor beds, brain, ischemic myocardium and striated muscle. The molecular basis of the action can be studied in models such as the chick chorioallantoic membrane (CAM) and human microvascular endothelial cell (HDMEC) microtubule formation. Nongenomic and genomic actions of the hormone may contribute to angiogenesis. The initial description of the cell surface receptor for thyroid hormone (T4 and 3,5,3′-triiodo-<sm...

Objective: To highlight that an occasional case of parathyroidectomy may be followed by protracted symptomatic hypocalcaemia requiring calcium infusion and high doses of vitamin D.Case: We report a 61 years male who presented with hypercalcaemia and brown tumour. He was diagnosed as a case of primary hyperparathyroidism. He had normal FBC, U&Es, LFT, TFT and negative Endomysial antibody. Just 4 days post-parathyroidectomy he was admitted with symptom...

Objective: Factitious hypoglycaemia presents diagnostic difficulties. We report a case presenting with hypoglycaemia, due to use of herbal remedies for enhancement of sexual performance.Case: A 73-year-old male known to have peptic ulcer admitted with feeling dizzy and unwell, with blood glucose of 1.6 needed 10% dextrose infusion in the first 48 h of admission. Medications folic acid, adcal d3, omeprazole 20 mg, herbal medicine for improving sexual func...