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Journals Endocrinology, Diabetes & Meta...

Endocrinology, Diabetes & Metabolism Case Reports

https://read.qxmd.com/read/38131878/a-case-of-igg4-related-hypophysitis-maintained-remission-of-diabetes-insipidus-for-over-3-months-after-completion-of-steroid-treatment
#21
JOURNAL ARTICLE
Motohiro Kubori, Megumi Fujimoto, Yukiyoshi Okauchi, Kanae Matsuno, Eri Yamabayashi, Ryuki Sakamoto, Shinya Inada, Hiromi Iwahashi
SUMMARY: IgG4-related disease is a multiorgan disorder in which nodules and hypertrophic lesions are observed simultaneously, or separately, in areas including the pancreas, liver, lungs, salivary glands, thyroid glands, and pituitary glands. IgG4-related hypophysis is one of several IgG4-related diseases and is characterized by pituitary gland and pituitary stalk thickening, various degrees of hypopituitarism, and increased serum IgG4 levels. Steroid therapy is effective for patients with IgG4-related hypophysis, but the reported effectiveness of steroid therapy for restoring pituitary function differs between studies...
October 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/38116790/barakat-syndrome-diagnosed-decades-after-initial-presentation
#22
JOURNAL ARTICLE
Umberto Spennato, Jennifer Siegwart, Britta Hartmann, Elisabeth Julia Fischer, Cecilia Bracco, Joel Capraro, Beat Mueller, Philipp Schuetz, Andreas Werner Jehle, Tristan Struja
SUMMARY: Barakat syndrome, also called HDR syndrome, is a rare genetic disorder encompassing hypoparathyroidism (H), sensorineural deafness (D) and renal disease (R). A 64-year-old woman was referred to our endocrinology clinic for a switch in treatment (from dihydrotachysterol to calcitriol). She had progressive sensorineural deafness since the age of 18 and idiopathic hypoparathyroidism diagnosed at age of 36. Her medical history included osteoporosis with hip/spine fractures, nephrolithiasis and a family history of hearing loss, osteoporosis and kidney disease...
October 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/38108392/proliferative-diabetic-retinopathy-as-the-initial-presenting-feature-of-type-1-diabetes
#23
JOURNAL ARTICLE
Ishara Ranathunga, Chandima Idampitiya
SUMMARY: Type 1 diabetes mellitus (T1DM) is an autoimmune disorder caused by the destruction of the pancreatic beta cells, which produce insulin. Individuals with T1DM usually require at least 3-5 years to develop microvascular complications in comparison to people with type 2 diabetes (T2DM), who may develop complications even before the diagnosis of diabetes. We discuss a patient who presented with proliferative diabetic retinopathy subsequently diagnosed with T1DM and diabetic neuropathy following investigations...
October 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/38108305/subcentimetric-papillary-thyroid-carcinoma-with-extensive-lymph-node-and-brain-metastasis-case-report-and-review-of-literature
#24
JOURNAL ARTICLE
Andreia Amado, Elisabete Teixeira, Sule Canberk, Sofia Macedo, Bárbara Castro, Hugo Pereira, João Varanda, Susana Graça, Amélia Tavares, Carlos Soares, Maria João Oliveira, Manuel Oliveira, Paula Soares, Manuel Sobrinho Simões, Antónia Afonso Póvoa
SUMMARY: We report a 61-year-old male patient without personal history of thyroid carcinoma or radiation exposure. In 2011, he presented with a cervical mass whose biopsy diagnosed a papillary thyroid carcinoma (PTC) in a lymph node metastasis (LNM). Total thyroidectomy with lymphadenectomy of central and ipsilateral compartment was performed. Histopathology identified a 2 mm follicular variant of PTC and LNM in 25/25 lymph nodes. The patient was treated with 150 mCi of radioactive iodine (RAI), followed by levothyroxine suppressive therapy...
October 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/38103377/a-low-carbohydrate-diet-in-place-of-sglt2i-therapy-in-a-patient-with-diabetic-cardiomyopathy
#25
JOURNAL ARTICLE
Sabine Kleissl-Muir, Bodil Rasmussen, Alice Owen, Caryn Zinn, Andrea Driscoll
SUMMARY: In patients with diabetes mellitus, the toxic milieu caused by abnormal glucose and free fatty acid handling can lead to heart failure (HF). Referred to as diabetic cardiomyopathy (DMCM), this syndrome often exists in the absence of conventional risk factors for HF such as history of myocardial infarction or hypertension. Low-carbohydrate diets (LCDs) have recently been endorsed as an efficacious therapeutic dietary approach to prevent and reverse cardiometabolic disease including type 2 diabetes mellitus (T2DM)...
October 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/38088358/complete-recovery-after-glucocorticoid-replacement-therapy-in-a-case-of-primary-adrenal-insufficiency-caused-by-adrenal-tuberculosis-infection
#26
JOURNAL ARTICLE
Hendra Zufry, Putri Oktaviani Zulfa, Rosdiana Rosdiana, Krishna Wardhana Sucipto, Agustia Sukri Ekadamayanti, Sarah Firdausa
SUMMARY: Symptoms of primary adrenal insufficiency (PAI) are commonly nonspecific, causing the disease to be misdiagnosed or often delayed, and patients may present to the hospital with a life-threatening crisis. Previous case reports have documented that patients in this condition often require lifelong glucocorticoid replacement therapy. This study aimed to present a noteworthy outcome of PAI caused by adrenal tuberculosis infection, demonstrating complete recovery after six months of glucocorticoid replacement therapy...
October 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/38064896/calciphylaxis-in-a-patient-with-hypoparathyroidism-and-men-1-syndrome
#27
JOURNAL ARTICLE
Isabelle van Heeswijk, Antonia Ugur, Lynsey Havill, Rebecca Kinton, David Hughes
SUMMARY: Calciphylaxis is a rare disorder characterised by the development of painful necrotic skin lesions. Occlusion of cutaneous arterioles due to ectopic calcification leads to potentially life-threatening widespread skin loss. Most cases occur in patients with chronic renal disease, which leads to dysregulation of calcium and phosphate homeostasis. Only a handful of case reports exist describing calciphylaxis occurring in patients without chronic renal disease but with hypoparathyroidism...
October 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/38064892/parathyroid-adenoma-apoplexy-mimicking-a-thyroid-bleeding-cyst-a-seemingly-innocent-condition-that-can-be-life-threatening
#28
JOURNAL ARTICLE
Jasmine Van de Kerkhof, Jacqueline Bijnens, Frank De Geeter, Catherine Dick, Pascale De Paepe, Annick Van den Bruel
SUMMARY: Primary hyperparathyroidism most commonly presents with hypercalcaemia. Rarely, parathyroid apoplexy or haemorrhage mimicking a thyroid bleeding cyst is the first presentation of a parathyroid adenoma. A woman presented with a sudden-onset painful 'goitre'. Ultrasound showed a cystic nodule located posterior to rather than in the right thyroid lobe, suggesting parathyroid adenoma bleeding. Biochemistry showed mild primary hyperparathyroidism. 99mTc-pertechnetate/sestamibi showed no uptake in the nodule, which was interpreted as a cold thyroid nodule...
October 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/38056082/hypertriglyceridemia-and-its-impact-on-mitotane-monitoring-in-adrenocortical-carcinoma
#29
JOURNAL ARTICLE
Sandra Martens, Bruno Lapauw
SUMMARY: Mitotane is used for treatment of advanced adrenocortical carcinoma. It is administered when the carcinoma is unresectable, metastasized, or at high-risk of recurrence after resection. In addition, mitotane is considered to have direct adrenolytic effects. Because of its narrow therapeutic-toxic range, therapeutic drug monitoring (TDM) is warranted. In 2020, a left-sided adrenal gland tumor was found (5.8 cm) in a 38-year-old man. Considering the size of this lesion and inability to exclude an adrenocortical carcinoma on imaging, a laparoscopic adrenalectomy was performed...
October 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/38054478/calcaneus-metastasis-a-rare-presentation-of-poorly-differentiated-thyroid-cancer
#30
JOURNAL ARTICLE
Omayma Elshafie, Anjali Jain, Summit Bichpuria, Yamina Rassou, Syed Furqan Hashmi, Abir Bou Khalil
SUMMARY: A 60-year-old woman presented to our clinic with an acute onset 3 months history of right ankle pain. The patient had a history of poorly differentiated thyroid cancer, which was treated with total thyroidectomy, left lateral neck dissection levels II-V and central neck dissection levels VI-VII followed by postoperative I-131 radioactive iodine (131I) ablation therapy 3.7 GBq 6 months ago. The post-131I WBS showed residual iodine-avid thyroid tissue with no other iodine-avid disease or metastasis...
October 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/38006658/a-case-of-catamenial-erythema-multiforme-major-successfully-treated-with-goserelin
#31
JOURNAL ARTICLE
Lauren T Tyack, Bronwyn G A Stuckey, John P Walsh
SUMMARY: We report a case of catamenial erythema multiforme major in a 46-year-old female. She was treated successfully with goserelin, a GnRH agonist, until the expected age of menopause; however, its therapeutic effects persisted for longer than expected, possibly due to accumulation in adipose tissue. LEARNING POINTS: A group of menstrual cycle-related dermatoses and hypersensitivity syndromes exist but are rarely reported in the literature. A history of recurrent cutaneous eruptions in premenopausal females should be considered in the context of the menstrual cycle...
October 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/38006656/segmental-low-density-area-on-contrast-enhanced-ct-is-a-possible-clue-to-diagnosing-branch-artery-fibromuscular-dysplasia
#32
JOURNAL ARTICLE
Yuko Kiyohara, Rei Hirose, Hiroshi Kawamata, Kazuki Nakai, Akane Hirataka, Jun Saito, Yuya Tsurutani
SUMMARY: Fibromuscular dysplasia can cause renovascular hypertension. Since fibromuscular dysplasia may be underdiagnosed, precise diagnosis and management are crucial, especially for young women. A 20-year-old woman with hypertension and hypokalemia was referred to our hospital for further evaluation of secondary hypertension. At the previous hospital, her blood pressure was 160/110 mmHg and the serum potassium level was 2.9 mEq/L. The equilibrium phase on contrast-enhanced computed tomography revealed a low-density area in the upper median portion of the right kidney...
October 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37997784/a-diagnostic-conundrum-in-bardet-biedl-syndrome-when-genetic-diagnosis-precedes-clinical-diagnosis
#33
JOURNAL ARTICLE
Nele Van Roy, Sylvester Heerwegh, Dashty Husein, Joke Ruys, Peter Coremans
SUMMARY: Bardet-Biedl syndrome (BBS) is a rare, autosomal recessive, multisystem non-motile ciliopathy of progressive onset. It is primarily characterised by rod-cone dystrophy, early-onset obesity and related complications, postaxial polydactyly, renal and genitourinary abnormalities, learning disabilities, and hypogonadism. The diagnosis is based on Beales' modified diagnostic criteria. We present a case of two monozygotic female twins, 17 years of age at presentation, referred for obesity since childhood...
October 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37988766/insulin-autoimmune-syndrome-not-just-one-but-two-different-diseases-with-therapeutic-implications
#34
JOURNAL ARTICLE
Anne Cathrine Parelius Wammer, Ingrid Nermoen, Per Medbøe Thorsby, Nils Bolstad, Kari Lima, Hoa Tran, Ivar Følling
SUMMARY: We present a young woman with treatment resistant insulin autoimmune syndrome (IAS) with a protracted course. Her serum insulin level was 6945 pmol/l (<160), C-peptide 4042 pmol/L (<1480), anti-insulin antibodies 5305 U/mL (<0.4) were monoclonal IgG kappa. After 12 h of fasting, her blood glucose fell to 1.2 mmol/L. Post-meal blood glucose peaked at 12.2 mmol/L with reactive hypoglycaemia below 2 mmol/L. Frequent meals and continuous blood glucose monitoring were helpful, but further treatments advocated in the literature with prednisolone, rituximab, plasmapheresis, cyclophosphamide and ciclosporin were without beneficial effect...
October 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37982683/new-onset-primary-adrenal-insufficiency-in-pregnancy-associated-with-a-unilateral-adrenal-infarction-a-case-report
#35
JOURNAL ARTICLE
Lakshmi Menon, Dinesh Edem, Jhansi Maradana, Pranjali Sharma, Shrikant Tamhane
SUMMARY: New-onset primary adrenal insufficiency is rare in pregnancy. The symptoms of adrenal insufficiency such as nausea, vomiting and dizziness may be attributed to the pregnancy itself, which can lead to a delay in the diagnosis. The presence of hypotension, hypoglycemia or hyperkalemia should raise the suspicion for adrenal insufficiency. We report the case of a 25-year-old woman who presented with tachycardia, left flank pain and vomiting at 36 weeks' gestation. She was found to have primary adrenal insufficiency and started on hydrocortisone and fludrocortisone with resolution of the vomiting and tachycardia...
October 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37965919/induction-of-lactation-in-a-patient-with-complete-androgen-insensitivity-syndrome
#36
JOURNAL ARTICLE
Kimberly Voon, Bronwyn G A Stuckey
SUMMARY: With rising rates of adoption and surrogacy, induced lactation is likely to become increasingly relevant, allowing women who did not undergo pregnancy to breastfeed. We describe the case of a woman with complete androgen insensitivity syndrome (CAIS) on conventional oestrogen therapy who was expecting a child via surrogacy and who wished to breastfeed. The woman was commenced on supplementary oestrogen therapy, domperidone and breast stimulation by mechanical breast pump 8 weeks prior to the delivery of her child...
October 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37873942/acute-heart-failure-with-incidentally-found-cystic-adrenal-mass
#37
JOURNAL ARTICLE
Salman Zahoor Bhat, Amir H Hamrahian, Yubo Wu, Misop Han, Roberto Salvatori
SUMMARY: Pheochromocytomas are rare adrenal tumors characterized by excessive catecholamine secretion. Symptoms and signs associated with pheochromocytomas are usually intermittent and chronic but can rarely develop into life-threatening crises. We describe a case of acute severe congestive heart failure in a previously healthy female, who recovered rapidly (4 days after admission) with acute medical therapy. The etiology on evaluation was a spontaneous bleed in a previously undiagnosed pheochromocytoma, resulting in a pheochromocytoma crisis and transient stress cardiomyopathy, followed by quick recovery of cardiac function...
October 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37855645/diagnostic-pitfalls-in-a-young-adult-with-new-diabetes
#38
JOURNAL ARTICLE
Natalie Below, Deborah Morrison, Ruth McGowan, Gregory C Jones
SUMMARY: A 20-year-old South Asian male presented with polyuria, polydipsia, HbA1c 81 mmol/mol, BMI 28.8 and family history of both type 1 and type 2 diabetes mellitus. As autoantibody testing was negative and c-peptide level demonstrated significant endogenous insulin secretion, type 1 diabetes was excluded. Given his age and family history, the differential diagnosis included maturity-onset diabetes of the young (MODY), a rare form of diabetes caused by a single-gene variant. A high probability of MODY was calculated and he was subsequently referred for genetic testing...
October 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37855644/severe-cushing-s-syndrome-from-an-ectopic-adrenocorticotropic-hormone-secreting-neuroendocrine-tumour-treated-by-osilodrostat
#39
JOURNAL ARTICLE
Václav Hána, Tomáš Brutvan, Adéla Krausová, Michal Kršek, Václav Hána
SUMMARY: Severe Cushing's syndrome from an ectopic adrenocorticotropic hormone-producing tumour is rare but often demands rapid diagnostics and treatment of hypercortisolism with its comorbidities. Pharmacotherapy of hypercortisolism by ketoconazole, metyrapone and osilodrostat is currently available. If unsuccessful or insufficient a bilateral adrenalectomy is an option. We present a 28-year-old female with severe Cushing's syndrome caused by a bronchial metastatic neuroendocrine tumour (NET)...
October 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/37787754/post-bariatric-hypoglycaemia-diagnosed-during-pregnancy
#40
JOURNAL ARTICLE
Dave Duggan, Cinthia Minatel Riguetto
SUMMARY: There is a scarcity of literature relating to post-bariatric hypoglycaemia (PBH) in pregnancy. Recurrent hyperglycaemia and hypoglycaemia can have significant consequences for both the mother and the developing fetus. We describe a case of a young pregnant woman who was diagnosed with symptomatic PBH in the second trimester of pregnancy using continuous glucose monitoring (CGM) 3 years after Roux-en-Y gastric bypass (RYGB) surgery. Instigating a low glycaemic index and complex carbohydrate diet significantly improved the patient's glycaemic excursions...
October 1, 2023: Endocrinology, Diabetes & Metabolism Case Reports
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