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Journals Endocrinology, Diabetes & Meta...

Endocrinology, Diabetes & Metabolism Case Reports

https://read.qxmd.com/read/37551923/semaglutide-therapy-decreases-epicardial-fat-inflammation-and-improves-psoriasis-severity-in-patients-affected-by-abdominal-obesity-and-type-2-diabetes
#1
JOURNAL ARTICLE
Alexis Elias Malavazos, Chiara Meregalli, Fabio Sorrentino, Andrea Vignati, Carola Dubini, Valentina Scravaglieri, Sara Basilico, Federico Boniardi, Pietro Spagnolo, Piergiorgio Malagoli, Paolo Romanelli, Francesco Secchi, Gianluca Iacobellis
SUMMARY: Psoriasis is often associated with abdominal obesity and type-2 diabetes (T2D). The inflammatory process in psoriasis can target adipose tissue depots, especially those surrounding the heart and coronary arteries, exposing to an increased risk of cardiovascular diseases. A 50-year-old female patient referred to us for abdominal obesity and T2D, which were not controlled with lifestyle modifications. She had suffered from psoriasis for some years and was treated with guselkumab, without success...
August 8, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37530458/high-aldosterone-levels-in-the-renal-capsular-vein-from-the-left-aldosterone-producing-adenoma-on-adrenal-venous-sampling
#2
JOURNAL ARTICLE
Rei Hirose, Hiromitsu Tannai, Kazuki Nakai, Kohzoh Makita, Seishi Matsui, Jun Saito
SUMMARY: A 42-year-old female patient was referred to our hospital with hypertension and hypokalemia and was diagnosed with primary aldosteronism. Dynamic contrast-enhanced computed tomography images revealed a 13-mm nodule on the lateral segment of the left adrenal gland and a fine venous connection between the nodule and the prominent renal capsular vein running nearby. The venograms in the left lateral tributary with a microcatheter confirmed alternative drainage to the left renal capsular vein during adrenal venous sampling, and the left renal capsular vein sampling was added...
August 2, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37584383/presentation-of-new-onset-type-1-diabetes-with-diabetic-ketoacidosis-and-hyperosmolar-hyperglycaemia-after-a-single-dose-of-nivolumab-and-ipilimumab
#3
JOURNAL ARTICLE
Dimitra Stathi, Sufyan Hussain, Danielle Crawley, Janaka Karalliedde
SUMMARY: A Caucasian man in his 60s with recent diagnosis of metastatic renal cell carcinoma presented to the emergency department with a 5-day history of severe polyuria, polydipsia and fatigue and 1-day history of confusion, abdominal pain, nausea and vomiting. Investigations revealed an overlap of diabetic ketoacidosis (DKA) and hyperosmolar hyperglycaemic state (HHS). He had received the first dose of immunotherapy with nivolumab and ipilimumab 3 weeks prior to this attendance. New-onset type 1 diabetes (T1DM) was confirmed based on the clinical features at presentation, seropositivity for glutamic acid decarboxylase antibodies and significant insulin deficiency...
August 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37584380/subacute-thyroiditis-following-mpox-infection-in-a-patient-with-human-immunodeficiency-virus
#4
JOURNAL ARTICLE
Emmanuel Ssemmondo, Mohamed Akasha Idris, Damian Mawer, Nicholas Easom, Jonathan Thow
SUMMARY: Mpox (MPX) formerly known as monkeypox was declared a public health emergency of international concern, following an outbreak that commenced in May 2022. We report a case of subacute thyroiditis following MPX infection. To our knowledge, it is the first documented incidence of this complication in humans. A 51-year-old male, with a well-controlled human immunodeficiency virus (HIV) infection on antiretroviral therapy, was reviewed 3 weeks after a positive test for MPX. The acute skin lesions and initial systemic symptoms had resolved, but he described significant neck discomfort, fatigue, weight loss and night sweats...
August 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37584373/managing-type-1-diabetes-mellitus-with-a-ketogenic-diet
#5
JOURNAL ARTICLE
Clemens Gardemann, Sonja Knowles, Thorsten Marquardt
SUMMARY: Traditional guidelines for type 1 diabetics do not restrict carbohydrates to improve clinical outcomes for patients. This paper highlights the favorable blood glucose control outcomes when a type 1 diabetic focuses on caloric intake from protein and healthy fats instead of the traditional carbohydrate-focused meals. We followed a male type 1 diabetic in his 20s adopting a ketogenic diet through a process of slowly lowering total daily carbohydrate intake. Diabetes-related biomarkers were measured throughout the process...
August 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37584371/spontaneous-remission-of-pendulum-swinging-thyroid-disease-in-down-syndrome
#6
JOURNAL ARTICLE
Katriona Fox, Aisling Fitzsimons, Farhana Sharif, Graham Robert Lee, Michael Joseph O'Grady
SUMMARY: Rare patients who have both thyroid-stimulating hormone (TSH) receptor-stimulating and -blocking antibodies can develop 'pendulum swinging' thyroid dysfunction. A 9-year-old girl with Down syndrome was treated with carbimazole for Graves' disease. After 2 years of treatment, she became profoundly biochemically hypothyroid, and this persisted after carbimazole was discontinued. Low-dose L-thyroxine was commenced. This was subsequently also discontinued as biochemical hyperthyroidism developed...
August 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37458575/congenital-hypogonadotrophic-hypogonadism-induction-of-minipuberty-and-future-fertility
#7
JOURNAL ARTICLE
Bronwyn G A Stuckey, James D Nolan, David M Hurley, Graeme B Martin
SUMMARY: A 33-year-old man with Kallmann syndrome had received pulsatile GnRH as an infant for the treatment of cryptorchidism. As an adult, his treatment for fertility with gonadotrophins was unusually rapid compared with expectations, with a total sperm count of 25 million after only 12 months of gonadotrophin therapy. We propose that pulsatile GnRH treatment as an infant induced minipuberty and facilitated his successful, rapid response to therapy. We also propose that identification of the absence of minipuberty in infants with clinical signs suggesting congenital hypogonadotrophic hypogonadism (CHH) is an opportunity for intervention with pulsatile GnRH yielding benefits for fertility decades later...
July 17, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37458570/severe-hyponatremia-with-consciousness-disturbance-after-receiving-sars-cov-2-mrna-vaccination
#8
JOURNAL ARTICLE
Takuya Kumagai, Syohei Koyama, Haruka Yorozu, Ayaka Kokita, Naoko Shimizu, Yumi Suganuma, Takashi Goto
SUMMARY: There are very few reports of syndrome of inappropriate antidiuresis hormone secretion (SIADH) after receiving severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) mRNA vaccine. Herein, we present the case of an 84-year-old woman who developed severe hyponatremia following the second administration of the SARS-CoV-2 mRNA vaccine. The patient presented with nausea, vomiting, and headache. Laboratory tests showed a plasma sodium level of 119 mmol/L. After receiving 500 mL of intravenous saline over a 2-h period, her plasma sodium level raised to 121 mmol/L, but her symptoms persisted...
July 17, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37417678/clinical-and-molecular-description-of-two-cases-of-neonatal-diabetes-secondary-to-mutations-in-pdx1
#9
JOURNAL ARTICLE
Nicolas Forero-Castro, Luis Carlos Ramirez, Juan Carlos Celis, Fernando Arturo Silva Henao, Fernando Leal Valencia
SUMMARY: Pancreatic dysgenesis (PD) is a rare congenital disease, with less than 100 cases reported in the literature. In most cases, patients are asymptomatic and the diagnosis is made incidentally. In this report, we present the case of two brothers with a history of intrauterine growth retardation, low birth weight, hyperglycemia, and poor weight gain. The diagnosis of PD and neonatal diabetes mellitus was made by an interdisciplinary team composed of an endocrinologist, a gastroenterologist, and a geneticist...
July 7, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37401490/using-telemedicine-to-manage-a-patient-with-a-hypertensive-emergency-due-to-pheochromocytoma
#10
JOURNAL ARTICLE
Seigo Konishi, Mitsuhiro Kometani, Ko Aiga, Daisuke Aono, Takahiro Nohara, Hiroko Ikeda, Shigehiro Karashima, Yoshiyu Takeda, Takashi Yoneda
SUMMARY: The COVID-19 pandemic has led to the emergence of telemedicine on a global scale. In endocrinology, telemedicine has mainly been used in relation to chronic diseases, including diabetes. Herein, we report the case of an 18-year-old woman with a hypertensive emergency due to a pheochromocytoma who was quickly diagnosed and treated using telemedicine. The patient was referred to a cardiovascular hospital because of fatigue and sweating that did not improve with carvedilol. She had fluctuating blood pressure and tachycardia...
July 4, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37401469/antithyroid-arthritis-syndrome-caused-by-methimazole-in-a-patient-with-graves-disease
#11
JOURNAL ARTICLE
Muneo Kawasumi, Mitsunobu Kubota, Yoko Yoshii, Tadahiro Tokunaga
SUMMARY: This is a report on antithyroid arthritis syndrome (AAS) which is a rare adverse effect of antithyroid agents. AAS presents with severe symptoms including myalgia, arthralgia, arthritis, fever, and skin eruption due to the use of antithyroid agents. We encountered a 55-year-old woman with severe pain in the hand and forearm and arthralgia in multiple joints, including the knee, ankle, hand, and wrist on day 23 after initiation of methimazole (MMI) for Graves' disease. Blood tests revealed elevated inflammation markers such as C-reactive protein and interleukin-6, and magnetic resonance imaging of the hands confirmed inflammation findings...
July 4, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37767716/sertoliform-endometrioid-carcinoma-of-the-right-ovary
#12
JOURNAL ARTICLE
Mohammad Alali, Sulaiman Hajji, Khalid Aljenaee
SUMMARY: Endometrioid carcinomas of the ovary are a subtype of epithelial ovarian tumors, with sertoliform endometrioid carcinomas being a rare variant. We report a case of a previously healthy premenopausal woman presenting with androgenic symptoms in the form of hirsutism and male pattern alopecia. On further testing, she was found to have high levels of luteinizing hormone and total testosterone levels, and imaging revealed a large pelvic abdominal mass in the right ovary. She underwent total hysterectomy with bilateral salpingo-oophorectomy...
July 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37767703/continuous-glucose-monitoring-in-a-patient-with-insulinoma-presenting-with-unawareness-of-postprandial-hypoglycemia
#13
JOURNAL ARTICLE
Rikako Nakajima, Hiroto Idesawa, Daisuke Sato, Jun Ito, Kei Ito, Masanao Fujii, Takamichi Suzuki, Tomoaki Furuta, Hitomi Kawai, Norio Takayashiki, Masanao Kurata, Hiroaki Yagyu
SUMMARY: Unawareness of postprandial hypoglycemia for 5 years was identified in a 66-year-old man at a local clinic. The patient was referred to our hospital because of this first awareness of hypoglycemia (i.e. lightheadedness and impaired consciousness) developing after lunch. In a 75 g oral glucose tolerance test, the plasma glucose concentration was decreased to 32 mg/dL (1.8 mmol/L) at 150 min with relatively high concentrations of insulin (8.1 μU/mL), proinsulin (70.3 pmol/L), and C-peptide (4...
July 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37767685/ectopic-cushing-s-syndrome-from-a-corticotropin-releasing-hormone-secreting-medullary-thyroid-carcinoma-a-rare-pitfall-of-inferior-petrosal-sinus-sampling
#14
JOURNAL ARTICLE
Vivi-Nelli Mäkinen, Stine Horskær Madsen, Mette Ji Riis-Vestergaard, Mette Bjerre, Steen Bønløkke Pedersen, Sylvia L Asa, Lars Rolighed, Jens Otto Lunde Jørgensen, Marie Juul Ornstrup
SUMMARY: This case report describes a rare presentation of ectopic Cushing's syndrome (CS) due to ectopic corticotropin-releasing hormone (CRH) production from a medullary thyroid carcinoma (MTC). The patient, a 69-year-old man, presented with symptoms of muscle weakness, facial plethora, and easy bruising. An inferior petrosal sinus sampling test (IPSS) demonstrated pituitary adrenocorticotrophic hormone (ACTH) secretion, but a whole-body somatostatin receptor scintigraphy (68Ga-DOTATOC PET/CT) revealed enhanced uptake in the right thyroid lobe which, in addition to a grossly elevated serum calcitonin level, was indicative of an MTC...
July 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37747283/a-chinese-girl-with-delayed-puberty-due-to-17%C3%AE-hydroxylase-deficiency-the-diagnosis-treatment-and-monitoring-approach
#15
JOURNAL ARTICLE
Geoffrey Chek Fei Yu, Ming-Kut Tay, Sammy Pak-Lam Chen, Mei Tik Stella Leung, Joanna Yuet-Ling Tung
SUMMARY: 17α-hydroxylase deficiency (17α-OHD) is a rare form of congenital adrenal hyperplasia. We report the case of a teenage girl with 17α-OHD who presented with delayed puberty, hypergonadotropic hypogonadism and hypertension. We illustrate the clinical approach in workup, the subsequent management and monitoring of this rare condition. LEARNING POINTS: 17α-hydroxylase deficiency (17α-OHD) should be considered as a rare yet important differential diagnosis of girls with delayed puberty and elevated gonadotropins...
July 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37650300/foot-drop-in-children-with-newly-diagnosed-type-1-diabetes-three-case-reports
#16
JOURNAL ARTICLE
Joanna Chrzanowska, Monika Seifert, Barbara Salmonowicz, Agnieszka Zubkiewicz-Kucharska
SUMMARY: The etiology of foot drop is diverse from various diseases to mechanic injuries and includes neuropathy of the peroneal nerve. Peroneal neuropathy might also be one of the forms of diabetic neuropathy, very rarely reported as the first sign of diabetes. We describe three cases of children with newly diagnosed type 1 diabetes (TID) who developed unilateral peroneal nerve palsies and tibial nerve palsies, presenting clinically as a foot drop. In two of our cases, the symptoms of foot drop occurred shortly after starting treatment for severe diabetes ketoacidosis...
July 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37347536/an-uncanny-case-of-paraneoplastic-calcitriol-mediated-hypercalcaemia
#17
JOURNAL ARTICLE
Preet Mukesh Shah, Saadia Saeed, Susana Gonzalez
SUMMARY: A 77-year-old female patient with a history of treated breast cancer and a recently diagnosed laryngeal cancer presented with severe hypercalcaemia associated with suppressed parathyroid hormone (PTH) levels. Her initial investigations included 25-hydroxy vitamin D levels, short synacthen test, bone scan, myeloma screen and thyroid function tests which were within normality. A computerised tomography (CT) scan showed some right lung apical fibrotic changes. Her PTH-related peptide (PTHrP) was normal and sarcoidosis was also excluded...
June 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37341464/mckittrick-wheelock-syndrome-presenting-with-presumed-paraneoplastic-syndrome-extra-ocular-muscle-enlargement-masquerading-as-thyroid-eye-disease
#18
JOURNAL ARTICLE
Waqar Ahmad, Matthew Hartley, Shweta Singh, Kenzo Motohashi, Su Ann Tee, Helen Dallal, Dariush Kamali, Christopher Matthews, Shafie Kamaruddin
SUMMARY: Paraneoplastic syndromes (PS) are uncommon and are known to mimic other clinical entities, often carrying significant morbidity and mortality. The commonest cause of extra-ocular muscle enlargement (EOME) is thyroid eye disease (TED). Rarely, PS can cause EOME and masquerade as TED. We describe a 52-year-old female who presented with diarrhoea, acute kidney injury and electrolyte imbalance. An ophthalmic review identified right upper lid retraction. MRI orbits showed increased thickness of the inferior and medial recti bilaterally, presumed as TED...
June 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37341461/toripalimab-associated-diabetes-mellitus-a-case-report-from-the-community-of-southern-china
#19
JOURNAL ARTICLE
Wenxin Zhang, Wenqiong Xu
SUMMARY: Immune checkpoint inhibitors (ICPis) are novel immunotherapy drugs for a variety of cancers. Toripalimab is one of the ICPis that selectively blocks programmed death 1 (PD-1) and has been used for the treatment of malignant cancers in the hospitals of China. But with the widespread use of ICPis, some of the adverse reactions have gradually appeared. One of the most serious side effects is diabetes mellitus which is a relatively rare immune-related adverse event (irAEs) with life-threatening complications...
June 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37335755/use-of-rhpth-1-84-for-hypoparathyroidism-during-early-pregnancy-and-lactation
#20
JOURNAL ARTICLE
E Pauline Liao, Natalie E Cusano
SUMMARY: We present the first report of use of recombinant human parathyroid hormone (1-84) (rhPTH(1-84)) in a hypoparathyroid patient during early pregnancy and lactation. The patient developed postoperative hypoparathyroidism as a 28-year-old woman following total thyroidectomy for multinodular goiter. She was not well controlled with conventional therapy, and started rhPTH(1-84) in 2015 following its approval in the United States. She became pregnant in 2018 at age 40. She discontinued rhPTH(1-84) therapy at 5 weeks gestation but resumed in the postpartum period while breastfeeding...
June 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
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