Searchable abstracts of presentations at key conferences in endocrinology

ea0032oc4.4 | Adrenal | ECE2013

Neuronal dysfunction in the hippocampi of cured Cushing's syndrome patients, detected by 1H-MR-spectroscopy

Resmini Eugenia , Santos Alicia , Gomez-Anson Beatriz , Lopez-Mourelo Olga , Pires Patricia , Vives-Gilabert Yolanda , Crespo Iris , Portella Maria , de Juan-Delago Manel , Webb Susan

Introduction: Proton magnetic resonance spectroscopy (1H-MRS) is a sensitive, non-invasive imaging technique capable of measuring brain metabolites in vivo. Chronic exposure to endogenous hypercortisolism in Cushing’s syndrome (CS) is associated with negative effects on memory and hippocampal volumes, even after biochemical cure.Objective: To investigate metabolites in the hippocampi of CS patients and controls, using 1</sup...

ea0032p396 | Diabetes | ECE2013

Quality of care in diabetic patients

Marcelino Mafalda , Domingues Andreia , Pereira Armando , Passos Dolores , Raimundo Joaquim , Silva Joao , Lopes Luis , Lopes Maria , Chambel Paula , Santos Valentim , de Castro Joao Jacome

Introduction: Type 2 diabetes mellitus (T2DM) is a chronic disease, with prevalence increasing worldwide and its complications are major causes of early morbidity and mortality. Recent guidelines suggest the individualisation of glycaemic targets and glucose-lowering therapies.The aim of this study was to determine the quality of care provided to type 2 diabetic patients in our institution, analysing metabolic control, cardiovascular risk factors and pre...

ea0032p733 | Obesity | ECE2013

Gastric banding vs gastric bypass: evolution of anthropometric parameters and related comorbidities during the 2 years after surgery

Caldas Ana Rita , Silva Ana Maia , Amaral Claudia , Freitas Claudia , Carvalho Andre Couto , Silva Isabel , Pichel Fernando , Silva Carla , Marcos Mario , Santos Jorge , Nogueira Carlos , Cardoso Maria Helena

Introduction: Bariatric surgery has proved to be effective in the management of morbid obesity. Our purpose was to compare the results obtained with adjustable gastric banding (GB) and Roux-en-Y Gastric Bypass (RYGB) during 2 years of follow-up after surgery, with regard to anthropometric parameters and related comorbidities.Methods: We evaluated prospectively patients who underwent GB and RYGB between 2004 and 2010 and compared the evolution of anthropo...

ea0032p747 | Obesity | ECE2013

Short-term ovariectomy did not cause tissues proinflammatory state, but associated with hyperlipidic diet caused hyperleptinemia and increased body weight gain

de Sousa Rodrigues Maria Elizabeth , Neto Nelson Inacio Pinto , Oyama Lila Missae , Okuda Marcos Hiromu , Hachul Ana Claudia , Santos Bruno dos , Moreno Mayara , do Nascimento Claudia Oller

Obesity leads to low-grade inflammation, and high-fat diet is one of the major causes. On the other hand, menopause can aggravate it by promoting food intake alterations, and metabolic and endocrine adaptations. Thus, we used ovariectomized rats fed with high-fat diet to evaluate changes on the tissue inflammatory state. Forty days-old female Wistar rats were fed with: a hyperlipidic diet enriched with lard – H-group; or chow diet – C-group; for 30 days. After this p...

ea0032p833 | Pituitary–Basic (<emphasis role="italic">Generously supported by IPSEN</emphasis>) | ECE2013

Expression of connexins 26, 32 and 43 mRNA in normal and pituitary adenomas

Nunes Bruno , dos Santos Faria Manuel , Fortunato Rodrigo , Eurico Nasciutti Luiz , Renner Urlich , Stalla Gunter K. , de Carvalho Denise Pires , Miranda-Alves Leandro

Connexins are a proteins critically involved in the formation of gap junction, which connect cells with each other and enable the exchange of small compounds and, besides having a role independently of gap junction formation. At least, in the anterior pituitary two cellular networks have already been identified, one of them is composed of the endocrine inactive folliculo-stellate cells and the second one is the GH-producing somatotroph cell network. It is supposed that gap jun...

ea0032p1115 | Thyroid cancer | ECE2013

Primary thyroid lymphoma – report of four cases

Couto Joana , Martins Raquel , Santos Ana Paula , Leite Luis , Martins Angelo , Lencastre Luis , Sanches Cristina , Jacome Manuel , Henrique Rui , Torres Isabel

Introduction: Primary thyroid lymphoma (PTL) is responsible for 0.6–5% of all cases of thyroid cancer and less than 2% of all extranodal lymphomas. PTL is more common in elderly women and are commonly of B-cell origin. Current treatment regimens for PLC consist of chemotherapy and external beam radiation. Surgery plays an important role, including the control of symptoms in large obstructive lymphomas.Aims and methods: Retrospective data review of p...

ea0032p1139 | Thyroid cancer | ECE2013

Thyroid papillary carcinoma in a toxic adenoma: case report

Martins Raquel G , Couto Joana , Santos Ana Paula , Matos Maria Joao , Capelo Rosa , Silva Jose Pedro , Lucena Ines , Cambao Mariana , Torres Isabel

Introduction: Malignant toxic thyroid nodules are rare, with few cases described in the literature. The prevalence of malignancy in toxic adenomas varies between 1 and 8% in different series (most, corresponding to <2.5%). For that reason, international guidelines recommend that they should not be submitted to fine needle aspiration biopsy.Case report: A 42-year-old female patient without relevant previous medical history was admitted to our hospital...

ea0026p338 | Obesity | ECE2011

Glimepiride improves insulin sensitivity in oxidative skeletal muscle of obese rats: possible association between GLUT4 and SUR2A expressions

Felipe dos Santos Ferreira Marques M F S F M , Cristina Tieko Mori R C T M , Mitiko Okamoto M M O , Fabres Machado U F M

Studies have demonstrated that ATP-sensitive potassium channel (KATP) subunits SUR2A (sulfonylurea receptor) and KIR6.2 are involved in glucose uptake into skeletal muscle. It is known that the glucose transporter 4 (GLUT4) expression is highest in oxidative type I fibers, pointing out the important role of oxidative muscles as glucose uptakes. Considering these aspects the aim of this study was to investigate whether KATP channel can influence glucose uptake in oxidative musc...

ea0026p724 | Diabetes (epidemiology, pathophysiology) | ECE2011

TCF7L2 gene variants and plasma C-peptide concentrations in diabetes type 2

Ferreira M C , Marques M C A , Fukui R T , Correia M R , Silva M E R , Rocha D M , Santos R F

Aims/hypothesis: Several data have shown the association between diabetes type 2 (DM2) and transcription factor 7-like 2 (TCF7L2) gene polymorphisms, in several and different ethnical populations. Although the pathophysiology is not completely clear, it seems that beta and alpha cell functions are abnormal. Up to these days there is no clinical data showing association between TCF7L2 gene polymorphism allele rs7903146 T and beta cell insulin and C-peptide contents in DM2 patie...

ea0022p552 | Neuroendocrinology and Pituitary (<emphasis role="italic">Generously supported by Novartis</emphasis>) | ECE2010

Incidentally found nonfunctioning pituitary macroadenomas: should we suspect them earlier?

Gomes Leonor , Paiva Isabel , Ribeiro Cristina , Santos Jacinta , Vieira Alexandra , Martinho Mariana , Alves Marcia , Gouveia Sofia , Rito Manuel , Belo Francisco , Rebelo Olinda , Carvalheiro Manuela

Background: Nonfunctioning pituitary adenomas are commonly diagnosed as large tumors. Most are detected incidentally during imaging studies. The aim of this study was to evaluate clinical presentation, characteristics and outcome of nonfunctioning pituitary macroadenomas incidentally (NFPMI) discovered.Methods: Twenty-seven patients (mean age 58.9 years, 45–82; 18 males:9 females) with NFPMI were studied. They represent 13.1% of NFPM followed in our...