Endocrine Abstracts

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: Hypothyroidism can cause various degrees of muscular disorders. It can lead to symptoms such as myalgia, weakness, fatigue and in rare cases to extreme muscular damage such as rhabdomyolysis, a potential life-threatening complication. We present the case of a 53 years old patient with acute renal failure due to rhabdomyolysis from severe hypothyroidism.Case description: The patient, a male from Albania was first admitted to the Emergency Ro...

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 ...

IntroductionHashimoto’s thyroiditis (HT) has been linked to papillary carcinoma of the thyroid, Hurthle cell cancer or even lymphoma. In contrast, there are only a few reports of co-existence of HT with medullary thyroid carcinoma. The link between them is unknown. An overall prevalence of medullary carcinoma of only 0.35% has been reported in HT patients. This prevalence is higher in female rather than male. We present the case of a female patient ...

Introduction: Multiple myeloma (MM) is a lethal hematological malignancy with an incidence of 6.1/100 000 per year. The association of thyroid autoimmune diseases and MM is rare and has not been fully investigated. Also, it is well known that agranulocytosis is a potential lethal adverse reaction of antithyroid treatment.Case report: We present the case of a 59-year-old female patient that presented with symptoms of hyperthyroidism. Objectively: Mild bil...