Endocrine Abstracts

Introduction: Obesity and diabetes are strongly associated as causes of morbi-mortality in developing countries. The aim of our study was to evaluate the prevalence of overweight, obesity and undiagnosed diabetes in Tirana district, where 1/4 of the total population lives.Method: Anthropometric and capillary glucose measures for healthy people unknown of diabetes. Diabetes familiar anamnesis, HTA treatment and smoking were included in the questionnaire.<...

Introduction: There is a connection between neurosensorial hearing loss and tipe 2 diabetes. Diabetes is a systemic chronic disease that affects the vessels and nerves. There are 415 million people all over the world that suffer from diabetes. There is not a clear mechanism of how diabetes is related to hearing loss but it s possible that the high blood glucose levels associated with diabetes cause damage to the small blood vessels in the inner ear, similar to the way in wich ...

IntroductionCalcium is an important metabolite. Abnormal blood calcium levels can affect brain function resulting in clinical signs. Iatrogenic hypercalcemia is a disorder rarely described in literature and there are few reported cases of association with neuropsychiatric manifestations. Psychiatric symptoms and abnormal physical symptoms are usually observed with a serum calcium level above 12 mg/dl. Our case report findings suggest the importance of co...

IntroductionProlactinomas are the most common pituitary tumors and a common cause of infertility because of gonadal dysfunction, in young women. The treatment of choice is dopamine agonists, which can restore fertility and promote shrinking of the tumor in the majority of cases. Managing prolactinomas during pregnancy may be challenging. Treatment discontinuation is recommended once the pregnancy is confirmed in women with microprolactinoma. For micropro...

IntroductionCOVID-19 can precipitate hyperglycaemic emergencies like Hyperosmolar Hyperglycaemic State (HHS) in patients with or without DM. It is currently hypothesized that COVID-19 may have a diabetogenic effect in addition to the stress-related response of glucose metabolism in severe illness. Dexamethasone reduces mortality in people with COVID-19 who require ventilation or oxygen therapy but can impair glucose metabolism. We present a case with HHS...

Introduction: Diabetic ketoacidosis(DKA) is a serious acute complication of Diabetes mellitus that can be life - threatening. DKA is most common among people with type 1 diabetes. It is usually presented with hyperglicemia, ketoacidosis and presence of ketone bodies in the urine. Chronic diarrhea(CD) is defined as three or more loose stools daily for at least four weeks. There are many possible causes of chronic diarrhea. The most common causes are: Crohn disease & Ulcerat...

Introduction: APS-2 is the most common autoimmune polyendocrine syndrome. It is characterized by the presence of various endocrine-related diseases, such as autoimmune thyroid disease, type 1 diabetes mellitus, Addison’s disease, primary hypogonadism, and, in rarer cases, hypoparathyroidism or hypopituitarism.Case report: Our patient is a 38-year-old female with a medical history of type 1 diabetes mellitus (DMT1) for 13 years, Hashimoto’s thyr...

Background: Pituitary apoplexy is a rare but potentially life-threatening condition in which the pituitary gland undergoes infarction or haemorrhage, most commonly in the setting of an underlying tumour. We report on apoplexy of a diagnosed pituitary adenoma who presented with a sudden onset of headache, vomiting, ophthalmoplegia and vision loss. Neuroimaging revealed hemorrhagic pituitary mass. Trans-sphenoidal surgery was performed, which resulted in moderate neurological re...

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...