Searchable abstracts of presentations at key conferences in endocrinology

ea0020p458 | Obesity and Metabolism | ECE2009

Changes in serum levels of fetal antigen 1 (FA1/Pref-1/Dlk1) in extreme nutritional states

Andries Alin , Stoving Rene , Wolf Andrea , Beisiegel U , Horder Kirsten , Martin SB , Abdallah BM , Kassem Moustapha

Background: Also known as preadipocyte factor 1 (pref-1) or delta-like 1 (Dlk1), fetal antigen 1 (FA1) was originally isolated from amniotic fluid and it is involved in tissue homeostatis during development and tissue regeneration in the post-natal organisms. FA1 may also plays a role in energy metabolism since mice deficient in FA1 are obese and mice overexpressing FA1 exhibit a lipodystrophy phenotype.In our study we determined FA1 serum levels in pati...

ea0019p5 | Bone | SFEBES2009

Identification of a kindred from Northern Ireland with familial hypocalciuric hypercalcaemia type 3, which maps to chromosome 19q13.3

Nesbit MA , Hannan FH , Graham U , Hunter S , Morrison PJ , Thakker RV

Familial hypocalciuric hypercalcaemia (FHH) is an autosomal dominant disorder of mineral metabolism that is characterized by lifelong elevation of serum calcium concentrations associated with inappropriately low urinary calcium excretion (calcium clearance:creatinine clearance <0.01). Three separate FHH loci have been identified (FHH1-3). Loss-of-function mutations of the calcium-sensing receptor (CaSR) gene located on 3q21.1, which account for the majority of FHH c...

ea0019p81 | Clinical practice/governance and case reports | SFEBES2009

Acute myopathic paraparesis as the first manifestation of thyrotoxicosis

Malipatil N , Srinivas-Shankar U , Sharma D , King S , Ikpoh A , Weston P

Background: Musculoskeletal symptoms are common but unrecognized symptoms of thyroid dysfunction. We present a case report of an elderly man presenting with acute paraparesis as the first manifestation of thyrotoxicosis.Case report: A 73-year man presented with 1-week history of weakness in both legs and inability to mobilize or stand. Neurological examination revealed severe proximal muscle weakness (grade 0/5 power) of both lower limbs with reduced ten...

ea0019p269 | Pituitary | SFEBES2009

The management of microprolactinoma: are we following the guidelines for dopamine agonist withdrawal?

Huda M , Wee J , Kwok H , Lawrence U , Moore R , Scally L , Gibbs C , Tremble J

Background: Dopamine agonist (DA) withdrawal is common in the management of microprolactinoma. Guidelines in 19971 and 20062 suggest that DA should be withdrawn after normoprolactinaemia for 3 years.Aims: To assess DA withdrawal and adherence to guidelines.Methods: We retrospectively examined casenotes from 1997 to 2008. Patients were included with clinical and biochemical evidence of hyperprolactinaemia, and ...

ea0016p38 | Adrenal | ECE2008

Retrospective clinical data on more than 160 pheochromocytoma in three east german endocrine centers

Kopetschke Robert , Kilisli Aylin , Tuschy U , Wallaschofski Henri , Oelkers Wolfgang , Ventz Manfred , Quinkler Marcus

Objective: Pheochromocytoma is a rare disease with an incidence of 2–6 per million, and a prevalence of 0.1–0.6% in patients with hypertension. Pheochromocytoma may occur sporadically or as part of hereditary syndrome. According to the latest studies, among patients with non-syndromic pheochromocytoma, up to 24% of tumors may be inherited. However, genetic testing was not generally performed until recently. There is still a debate which pheochromocytoma patient shoul...

ea0011oc11 | Steroids and reproductive endocrinology | ECE2006

The adrenal X-zone is involved in progesterone inactivation

Beuschlein F , Heshkovitz L , Klammer S , Lichtenauer U , Shapiro I , Krup M , Weinstein Y

20alpha-hydroxysteroid dehydrogenase (20αHSD) has been initially characterized as a progesterone metabolizing enzyme of the ovary mandatory for the final reduction of progesterone blood levels before parturition. As the exact zonal distribution and regulation of adrenal 20αHSD has not been defined, adrenal 20αHSD expression and activity was determined by western blotting, immunohistochemistry and enzymatic assays in wild type BALB/c mice of both genders at diffe...

ea0011p8 | Bone | ECE2006

Is there any combined influence of the N363S polymorphism in the glucocorticoid receptor gene and the BsmI polymorphism in the vitamin D receptor gene on the occurrence of glucocorticoid-induced osteoporosis in patients with bronchial asthma?

Tworowska U , Bidzinska-Speichert B , Obojski A , Demissie M , Koper JW , Slezak R

Osteoporosis has a strong genetic component and is a common side-effect in patients with long-term glucocorticoid (GC) treatment. Vitamin D plays an important role in bone metabolism, and polymorphisms in its receptor (VDR) gene have been implicated in the pathogenesis of osteoporosis. On the other hand, variability in the sensitivity to GCs, due to polymorphic variants of the glucocorticoid receptor (GR) gene was observed in patients treated with GCs, both with regard to the ...

ea0011p204 | Clinical practise and governance | ECE2006

Total cortisol and calculated free cortisol during the 250 μg ACTH test

Klose M , Lange M , Krogh-Rasmussen A , Haug E , Feldt-Rasmussen U

Objective: Evaluate the influence of altered cortisol binding globulin (CBG) concentration on total cortisol and calculated free cortisol (CFC) during the 250 μg ACTH test.Methods: We included 100 unmedicated healthy individuals (HI) (50M:50F), 13 women taking oral contraception (OC), and 5 men with nefrotic syndrome (NS, prior to glucocorticoid treatment; hypoalbuminaemia <9 g/l; proteinuria >1.6 g/24 h). An ACTH-test was performed between ...

ea0011p291 | Diabetes, metabolism and cardiovascular | ECE2006

Pro12Ala PPAR gamma2 gene polymorphism in PCOS women - the role of the satiety and insulin activity regulating compounds

Bidzinska-Speichert B , Tworowska U , Demissie M , Bednarek-Tupikowska G , Slezak R

Peroxisome proliferator-activated receptors (PPARs) regulate adipocyte differentiation and gene expression by an interplay with other transcription factors. They are the nuclear receptor that are mostly expressed in adipocytes and some nonadipose tissues like intestinal wall, muscles, liver and macrophages. The aim of the study was to assess the possible association between Pro12Ala PPAR-gamma2 receptor gene polymorphism and satiety factors, insulin resistance and androgen exc...

ea0011p299 | Diabetes, metabolism and cardiovascular | ECE2006

Effects of arm exercise on metabolic parameters in type 2 diabetic patients

Leelayuwat N , Tunkumnerdthai O , Donsom M , Punyaek N , Pratipanawatr T , Kukongviriyapan U

Background: Arm swing is a Chinese style of exercise. During the exercise, participants stand and simultaneously move their both arms forward and then backward for about 1 round per second.Abstract: The present study aims to investigate effects of arm exercise training on metabolic responses in type 2 diabetic Thai patients.Methods: Fourteen male and 47 female diabetic patients (aged 57.5±1.4 yrs) without cardiovascular diseas...