Endocrine Abstracts

Background: Disorders of sexual development (DSD) are estimated to occur in every 1 in 4500 births. This project builds upon previous work by the authors to explore the knowledge and management of paediatric junior doctors in a single deanery. The majority of junior doctors stated that they would seek the advice and explanation of paediatric consultant. We therefore attempted to qualify the knowledge and management strategies of the region-wide consultant body with regards to ...

In this study, effects of bovine somatotropin on libido, serum testosterone, hematological indices and certain serum biochemical metabolites in Sahiwal bulls were investigated. Six adult Sahiwal bulls with clinically normal reproductive tract and kept at the Semen Production Unit, Qadirabad, Sahiwal, Pakistan were used. These bulls were divided into two equal groups, i.e. treatment and control. Bulls of the treatment group were given bovine somatotropin (bST) at of 500 mg week...

Objective: To study association of endometrial thickness measured on ovulation induction (OI) day with cycle outcome after ICSI.Subjects and methods: It was a quasi experimental design carried out in an infertility clinic from July 2011 till June 2012. The treatment comprised of down regulation of ovaries, controlled ovarian stimulation, oocyte pick up, IVF, embryo (blastocysts) transfer followed by confirmation of pregnancy with beta hCG more than 25 mI...

Adipokine omentin is a connecting link between obesity and type 2 diabetes mellitus. It modulates insulin sensitivity of peripheral tissues and its secretion may change in the developed inflammation of adipose tissue at its excessive accumulation. Chemokine fractalkine is a marker of the development of inflammatory processes in the body. Objective: omentin and fractalkine contents in blood circulation depending on the degree if adipose tissue accumulation, waist circumference,...

Kallmann syndrome is a rare congenital hypogonadotropic hypogonadism with variable degrees of hyposomia to anosmia. This syndrome can be transmitted as autosomal dominant, autosomal recessive and X-linked inheritance pattern. We are reporting two cases of young male siblings (17 and 16 years old) who are the offspring of unrelated parents, presenting with delayed puberty and both were complaining of hyposmia. Their older brother, aged 24 years, was diagnosed with isolated hypo...

Introduction/Aim: Congenital hyperinsulinism (CHI) is a cause of severe hypoglycaemia in infancy. Treatment of diazoxide unresponsive patients includes the use of somatostatin analogues (octreotide given either as four s.c. injections daily or via a pump). We aimed to evaluate the use of a long acting somatostatin analogue (Lanreotide) in children with CHI, switching them from daily oral diazoxide or s.c. Octreotide injections to 4 weekly Lanreotide injections.<p class="ab...

Introduction: Diffuse congenital hyperinsulinism (CHI) is a major cause of severe hypoglycaemia. One treatment option is near-total pancreatectomy, which carries a risk of diabetes mellitus (DM) and pancreatic exocrine insufficiency.Objective: We report our centre’s experience on 36 consecutive medically unresponsive diffuse CHI children managed with near-total pancreatectomy.Methods: Following near-total pancreatectomy, these...

Introduction: Hyperinsulinaemic hypoglycemia (HH) represents the most common cause of hyperinsulinism in neonates, often termed as congenital hyperinsulinism of infancy (CHI). CHI is characterised by inappropriate raised insulin secretion from the pancreatic β-cells in relation to blood glucose concentration. Insulin suppresses NEFA and BOHB production. Neurological damage is a known risk associated with hyperinsulinaemic hypoglycaemia (HH).Aim: To ...

Background: Diabetes mellitus (DM) is one of the commonest chronic disorders of children, and Type 1 DM is the most frequent form of diabetes in children. Rarely DM is associated with other systemic features. DM and sensorineural deafness (SD) are features of rare syndromes like Wolfram syndrome, Rogers syndrome and Mitochondrial DM. Wolfram syndrome (also known as DIDMOAD syndrome) is caused by los of function mutations in the WFS1 gene and the clinical features incl...

Introduction: Regimens for pre-operative α and β-blockade for patients with secretory phaeochromocytomas/paragangliomas vary widely between centres. The worldwide lack of availability of intravenous phenoxybenzamine (Goldshield) has removed a useful tool in the management of phaeochromocytoma crisis and has necessitated a change in our institution’s routine pre-operative strategy. We compare pre, peri and post-operative surrogate measures of blockade in a cohort...