Endocrine Abstracts

A 36 year-old female presented with increasing headaches over the previous 8 months. She had seen in the neurology clinic recently and treated for migraines and cluster headache. She also had a history of depression. She had prodromal aura of visual disturbance including blurred vision and photophobia.She was admitted following sudden onset of stabbing pain over the left eye along with nausea. All these symptoms were classic of her usual migraines. On ad...

Background: Diabetes mellitus is the commonest endocrinopathy, Worldwide. Inspite of its commonality, the genetic basis of etiopathogenesis and pathophysiology are ever evolving and enigmatic. Amongst the protean genetic variations, cubulin gene and megalin gene mutations in diabetes are important in dictating genotype—phenotypic correlations and natural clinical course of diabetes. The genetic studies in this area are especially very sparse from Indian sub-continent. In...

Background: Diabetic ketoacidosis (DKA) remains the leading cause of morbidity and mortality in children with type 1 diabetes. In the past few years, both the International Society for Paediatric and Adolescent Diabetes (ISPAD) and the British Society for Paediatric Endocrinology and Diabetes (BSPED) have recommended key changes in the management of DKA. These changes incorporate new evidence to reduce the incidence of cerebral oedema and the increased use of insulin pumps.</p...

Introduction: Guidance on the management of diabetic ketoacidosis (DKA) has recently been updated in an effort to reduce the risk of complications, in particular, cerebral oedema. However, differences in recommendations for children and adults persist making the care of teenagers with DKA confusing and potentially hazardous.Aims: To compare the management of DKA in teenage patients in paediatric and adult care settings in the context of the latest nation...

Background: The LHR is a crucial mediator for normal sexual development and fertility. In the marmoset monkey (Callithrix jacchus), LHR type II, lacking exon 10, is the native receptor type. In addition to the testis, the LHR is expressed in the adrenal gland where its function remains unknown.Aim: To characterise marmoset LHR expression at different stages of puberty in the testis and adrenal gland and examine different splice variants in the tes...

Case summary: 7 yr old girl referred by GP to the cardiology clinic with heart murmur. Mother reported to GP about facial and periorbital puffiness intermittently for the last 2 years. Cardiology clinic review showed 1/6 short systolic murmur with small pericardial effusion. Pericardial effusion was initially thought to be possible post viral illness and the facial puffiness which remained unexplainable. A repeat Echo at 3 months later showed persistence of pe...

Introduction: Next-generation sequencing (NGS) in thyroid cancer allows for high-throughput sequencing analysis of various genetic alterations and provides a useful information of tumor biology. NGS Studies on follicular differentiated thyroid cancer have been scanty from Indian subcontinent. In this context, we set out study the prevalence of a genetic panel wide somatic mutations in thyroid cancer.Material and Methods: This prospective study was conduc...

Introduction: Next-generation sequencing (NGS) in thyroid cancer allows for high-throughput sequencing analysis of various genetic alterations and provides a useful information of tumor biology. NGS Studies on follicular differentiated thyroid cancer have been scantyfrom Indian subcontinent. In this context, we set out study the prevalence of a genetic panel wide somatic mutations in thyroid cancer.Material and Methods: This prospective study was conduct...

Introduction: Assessment of diabetes with daily blood glucose fluctuations including peaks and nadirs forms the crux of the modern management. Use of glycemic variability (GV) as a parameter to assess these fluctuations is emerging. Diabetes mellitus patients follow different clinical trajectories which can be traced by the ambulatory glucose profile (AGP) obtained from flash glucose monitoring system (FGMS).Methodology: This comparative observational st...

Introduction: Musculoskeletal manifestation is one of the leading cause of morbidity and disability among type 2 diabetics. Also management of these conditions with steroids and non-steroidal anti-inflammatory drugs, adversely impact the glycaemic control of diabetics. Our study aims to look for prevalence of different musculoskeletal manifestation among type 2 diabetes.Methodology: Our study is a cross-sectional observational study and it is comprised o...