Endocrine Abstracts

54-year old woman with Graves’ disease was admitted to Endocrinology Department because of severe thyrotoxicosis and antithyroid drugs inolerance. The apathetic form of thyrotoxicosis was diagnosed; she lost 12 kg during 3 months and she had heavy muscle weakness. Previously she demonstrated allergic skin reactions (macular rushes) after both: Methimazole and Propylthiouracil. At admission her TSH was 0.001 mU/l, fT3 24 pg/ml, fT4 37 pmol/l. Lithium, propranolol and gluco...

Background: MEN1 is an autosomal dominant inherited syndrome. Primary hyperparathyroidism, tumors of the endocrine pancreas, and of the pituitary, are the characteristic features of the syndrome.Objective: To present a case of MEN1 in a patient with extreme obesity, causing serious difficulties in diagnostic procedures leading to localization of pancreatic tumors.Case presentation: 22-year-old male with extreme obesity (BMI 59), hy...

The aim of the study was to compare efficacy and tolerability of systemic corticotherapy alone to corticotherapy combined with orbital radiotherapy in severe active Graves’ ophthalmopathy. We studied 905 patients, aged 35–73 years (mean 58.2 ±12), with clinical activity score above 4 and ATA class 3c to 6. Therapeutic outcome was assessed by change in ophthalmopathy index. For 4 weeks all subjects received corticotherapy: 869 - oral prednisone 60–100 mg dai...

Introduction: Isolated corticotropic insufficiency of hypophysis with consecutive secondary adrenal insufficiency is a very rare disease. Literature notes difficulties in proper recognition and necessity of differential diagnosis, including among others chronic fatigue syndrome. In recent years, in Poland we observe more and more frequently setting this diagnosis – only on the basis of low ACTH an cortisol concentrations, despite of proper stimulation with 250 μg<sup...

Adrenocortical carcinoma (ACC) is a rare malignancy. Authors present three cases of even less commonly encountered manifestation of ACC. Case 1: A 39-year-old male, with decompensated hypertension, was admitted to Department of Endocrinology due to a large tumor of the left adrenal gland (65 mm) revealed in the CT of the abdomen. Non-contrast attenuation was 35HU. After performing MRI with chemical shift, tumor was classified as non-adenoma as there was no significant loss of ...

Introduction: Cardiac disease called acromegalic cardiomyopathy may be present in patients with acromegaly at diagnosis, however most echocardiographic studies showed that systolic function in these patients is normal. Speckle tracking echocardiography (STE) is a novel method that allows for the study of global longitudinal strain (GLS), a marker of early and subclinical left ventricular (LV) systolic dysfunction.Objective: To evaluate left ventricular G...

BackgroundPrimary aldosteronism (PA) constitutes the most common form of hormonal hypertension. However, it is very often misdiagnosed and incorrectly managed. Detection rates are inadequately low and the interpretation of hormonal results is impossible in some patients. Subtype evaluation with its several limitations represents another problematic issue. We describe the cases of two young primary aldosteronism patients with complicated history and a few...

IntroductionPituitary apoplexy (PA) is a rare medical emergency caused by acute haemorrhage and/or infarction within a pituitary or usually pituitary tumour. Typically, PA is characterised by severe headache, visual fields defects, decreased visual acuity, cranial nerve palsies and hypopituitarism. However, many patients present with mild or ambiguous signs and symptoms or even PA is an incidental radiological finding.Aim<p cla...

BackgroundPituitary carcinoma (PC) is a very rare clinical entity, which is defined as a pituitary tumor that has metastasized to sites distant from the pituitary. It may present as hormone-secreting, invasive and recurrent macroadenoma causing a mass effect.Case presentationWe present a 58-years old male patient with corticotroph pituitary carcinoma and brain metastases who underwent 9 neurosurgical interven...

Background: Patients with acromegaly have substantially reduced quality of life (QoL). Delayed diagnosis is common and a long duration of untreated acromegaly leads to decreased QoL and increased morbidity and mortality.Aim: This longitudinal study examined QoL in patients with acromegaly who received lanreotide autogel.Material and Methods: This was a 2-year prospective, observational, multicenter study conducted in Poland (NCT023...