Journal of Clinical Endocrinology & Metabolism最新文献

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Debulking surgery after muscular paraffin oil injections: Effects on calcium homeostasis and patient satisfaction. 肌肉注射石蜡油后的去骨手术:对钙平衡和患者满意度的影响。
IF 5 2区 医学
Journal of Clinical Endocrinology & Metabolism Pub Date : 2024-09-03 DOI: 10.1210/clinem/dgae606
Sam Kafai Yahyavi, Gustav Wall-Gremstrup, Ahmad Makki, Jacob Juel, Simone Theilade, Jais Oliver Berg, Anders Juul, Ole Momsen, Ebbe Eldrup, Martin Blomberg Jensen
{"title":"Debulking surgery after muscular paraffin oil injections: Effects on calcium homeostasis and patient satisfaction.","authors":"Sam Kafai Yahyavi, Gustav Wall-Gremstrup, Ahmad Makki, Jacob Juel, Simone Theilade, Jais Oliver Berg, Anders Juul, Ole Momsen, Ebbe Eldrup, Martin Blomberg Jensen","doi":"10.1210/clinem/dgae606","DOIUrl":"https://doi.org/10.1210/clinem/dgae606","url":null,"abstract":"<p><strong>Objective: </strong>Cosmetic paraffin oil injections can lead to granuloma formation causing hypercalcemia and kidney failure. This study explores whether debulking surgery is an effective treatment for improving calcium homeostasis, inflammation and clinical symptoms.</p><p><strong>Materials and methods: </strong>In a retrospective study, we reviewed 33 patients undergoing debulking surgery. Changes in calcium, inflammatory markers, and renal function from baseline up to twelve months post-surgery were assessed. Patients were interviewed post-surgery.</p><p><strong>Results: </strong>The patients were 34.6 years (SD 6.9) and had 1,104 grams (SD 591) of granuloma tissue removed following injection of 1,329 mL (SD 803) paraffin oil 7.9 years (SD 3.2) earlier. Seventeen patients had hypercalcemia and experienced a significant decline in ionized calcium from 1.48 mmol/L (SD 0.16) at baseline to 1.33 mmol/L (SD 0.03) at twelve months (p<0.002), although only four men (23.5%) became normocalcemic. Serum ferritin was reduced by 50% after twelve months (p=0.048). Sixteen patients were normocalcemic and had no change in calcium homeostasis but experienced a 20% drop in serum ferritin levels (p=0.025) after surgery. Fifteen patients completed all their planned surgeries within the study period and experienced a decline in serum ionized calcium (p=0.031), ferritin (p=0.011), and interleukin 2-receptor (p=0.037). A patient satisfaction survey showed that 55% of patients reported post-operative satisfaction scores of 10/10, and 59% of the patients reported reduced pain.</p><p><strong>Conclusion: </strong>Surgery improved calcium homeostasis in a fraction of patients, reduced inflammation and subjective symptoms such as pain and mental well-being in a patient group left with few treatment options except high-dose prednisolone.</p>","PeriodicalId":50238,"journal":{"name":"Journal of Clinical Endocrinology & Metabolism","volume":null,"pages":null},"PeriodicalIF":5.0,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The association between plasma fatty acids and risk of lung cancer: a prospective cohort study of the UK Biobank. 血浆脂肪酸与肺癌风险之间的关系:英国生物库前瞻性队列研究。
IF 5 2区 医学
Journal of Clinical Endocrinology & Metabolism Pub Date : 2024-09-03 DOI: 10.1210/clinem/dgae609
Jianv Huang, Jiacong Li, Lu He, Junyan Miao, Meng Zhu, Juncheng Dai, Guangfu Jin, Hongxia Ma, Dong Hang, Hongbing Shen
{"title":"The association between plasma fatty acids and risk of lung cancer: a prospective cohort study of the UK Biobank.","authors":"Jianv Huang, Jiacong Li, Lu He, Junyan Miao, Meng Zhu, Juncheng Dai, Guangfu Jin, Hongxia Ma, Dong Hang, Hongbing Shen","doi":"10.1210/clinem/dgae609","DOIUrl":"https://doi.org/10.1210/clinem/dgae609","url":null,"abstract":"<p><strong>Context: </strong>Fatty acids (FAs) have emerged as significant contributors to tumorigenesis, yet prospective evidence regarding their specific effects on lung cancer risk remains scarce.</p><p><strong>Objective: </strong>To investigate the association between plasma FAs and lung cancer incidence, as well as a potential modification effect of genetic susceptibility on lung cancer risk.</p><p><strong>Methods: </strong>A cohort study was conducted involving 112,547 cancer-free participants from the UK Biobank, with measurements of plasma FAs, including saturated fatty acids (SFAs), monounsaturated fatty acids (MUFAs), and polyunsaturated fatty acids (PUFAs) at baseline (2006-2010). Cox regression models were employed to assess lung cancer risk according to plasma FA quartiles or 1-SD increment. Furthermore, interaction between plasma FAs and polygenic risk score (PRS) was evaluated using an additive model.</p><p><strong>Results: </strong>Over an average 10.9-year follow-up, 1122 lung cancer cases occurred. After multivariable adjustment, MUFAs were positively associated with lung cancer risk (hazard ratio [HR] per 1-SD = 1.32, 95% confidence interval [CI]: 1.13-1.54). In contrast, PUFAs, particularly n-3 PUFAs, n-6 PUFAs, docosahexaenoic acid, and linoleic acid, were associated with a lower risk of lung cancer, with HRs ranging from 0.79 (95% CI: 0.72-0.87) to 0.89 (95% CI: 0.83-0.95). SFAs were not significantly associated with lung cancer risk. Moreover, we observed an additive interaction between plasma PUFAs and genetic risk. Individuals with a high genetic risk and the lowest quartile of plasma PUFAs had the highest risk of lung cancer (HR = 2.20, 95% CI: 1.43-3.38).</p><p><strong>Conclusion: </strong>Our findings suggest that plasma PUFAs may serve as protective factors, while MUFAs represent risk factors for lung cancer, offering novel insights into lung cancer carcinogenesis and prevention.</p>","PeriodicalId":50238,"journal":{"name":"Journal of Clinical Endocrinology & Metabolism","volume":null,"pages":null},"PeriodicalIF":5.0,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Weight Loss Differentially Impacts Sex Hormones in Women and Men with Type 2 Diabetes: Look AHEAD Sex Hormone Study. 减肥对女性和男性 2 型糖尿病患者性激素的影响不同:Look AHEAD性激素研究》。
IF 5 2区 医学
Journal of Clinical Endocrinology & Metabolism Pub Date : 2024-09-02 DOI: 10.1210/clinem/dgae584
Wendy L Bennett, Jiahuan Helen He, Erin D Michos, Rita R Kalyani, Jeanne M Clark, Mark Woodward, Nazia Syed, Jianqiao Ma, Allen D Everett, Jun Yang, David Graham, Greg Ellis, Dhananjay Vaidya
{"title":"Weight Loss Differentially Impacts Sex Hormones in Women and Men with Type 2 Diabetes: Look AHEAD Sex Hormone Study.","authors":"Wendy L Bennett, Jiahuan Helen He, Erin D Michos, Rita R Kalyani, Jeanne M Clark, Mark Woodward, Nazia Syed, Jianqiao Ma, Allen D Everett, Jun Yang, David Graham, Greg Ellis, Dhananjay Vaidya","doi":"10.1210/clinem/dgae584","DOIUrl":"https://doi.org/10.1210/clinem/dgae584","url":null,"abstract":"<p><strong>Background: </strong>Despite sex differences in T2D, few studies have examined the role of sex hormones. We sought to assess the impact of weight loss, the cornerstone of T2D management, on sex hormone levels.</p><p><strong>Methods: </strong>This was an ancillary study to the Look AHEAD (Action for Health In Diabetes) Study (n=850 postmenopausal females, n=890 males, with T2D and BMI ≥25 kg/m2). We measured total testosterone (T), estradiol (E2) and sex hormone binding globulin (SHBG) and calculated bioavailable T (bioT). We examined the effect of the intensive lifestyle intervention (ILI) on hormone changes, whether changes were mediated by waist circumference and sex differences in treatment effect.</p><p><strong>Results: </strong>The baseline mean age was 60 years with a higher proportion of Black females (21%) vs. males (9%) and higher mean BMI in females vs. males (36.3 vs. 34.8 kg/m2). At year 1 in females, ILI decreased E2 by 15% and bioT by 13% and increased SHBG by 21%. At year 1 in males, ILI did not change E2 levels, but increased T by 14% and increased SHBG by 18%. The effect was attenuated over 4 years, there were statistically significant sex differences in treatment effect and change in waist circumference due to ILI at year 1 was a significant mediator of sex hormone changes.</p><p><strong>Conclusion: </strong>Weight loss in T2D resulted in sex hormone changes, which varied by sex and were mediated by changes in WC. Changes in sex hormone due to weight loss in T2D should be considered in the context of an individual's health risks, including cardiovascular, bone health, menopausal symptoms and cognition.</p>","PeriodicalId":50238,"journal":{"name":"Journal of Clinical Endocrinology & Metabolism","volume":null,"pages":null},"PeriodicalIF":5.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Alterations in Thyroid Hormones in Obese Patients are Associated with Body Composition Changes after Bariatric Surgery. 肥胖患者甲状腺激素的变化与减肥手术后身体成分的变化有关
IF 5 2区 医学
Journal of Clinical Endocrinology & Metabolism Pub Date : 2024-09-02 DOI: 10.1210/clinem/dgae605
Yu Yan, Xuehui Chu, Jing Wang, Xing Kang, Xiaodong Shan, Hang Yu, Xiaowen Zhang, Xitai Sun
{"title":"Alterations in Thyroid Hormones in Obese Patients are Associated with Body Composition Changes after Bariatric Surgery.","authors":"Yu Yan, Xuehui Chu, Jing Wang, Xing Kang, Xiaodong Shan, Hang Yu, Xiaowen Zhang, Xitai Sun","doi":"10.1210/clinem/dgae605","DOIUrl":"https://doi.org/10.1210/clinem/dgae605","url":null,"abstract":"<p><strong>Background: </strong>This study investigates how metabolic/bariatric surgery (MBS) affects thyroid hormone (TH) levels and TH resistance in obese euthyroid individuals, focusing on their correlation with changes in body composition.</p><p><strong>Methods: </strong>We included 470 obese individuals and 118 controls for baseline assessment, and 125 obese patients receiving MBS for longitudinal study. Data on body composition and thyroid function were collected. Correlations between baseline and changes in thyroid function and body composition were assessed.</p><p><strong>Results: </strong>In the obese group, thyroid stimulating hormone (TSH), free triiodothyronine (fT3) levels, and thyroid feedback quantile-based index (TFQI) were elevated and significantly decreased post-MBS, along with visceral fat area (VFA) and body fat percentages, while skeletal muscle mass (SMM) percentage increased. Preoperative partial correlation analysis adjusted for age and sex revealed that TSH positively correlated with VFA (r=0.109, P=0.019), body fat percentage (r=0.114, P=0.013), and negatively correlated with SMM percentage (r=-0.104, P=0.024). Similar correlations were observed between central TH resistance indices and body composition, but no significant correlations were found in the control group. Post-MBS, decreased TSH positively correlated with decreased VFA (r=0.251, P=0.006) and increased SMM percentage (r=0.233, P=0.011). While reductions in VFA and body fat percentage were linked to improved central thyroid hormone resistance, a decrease in peripheral TH conversion was noted.</p><p><strong>Conclusions: </strong>MBS significantly impacts thyroid function and TH resistance, with notable correlations to changes in body composition.</p>","PeriodicalId":50238,"journal":{"name":"Journal of Clinical Endocrinology & Metabolism","volume":null,"pages":null},"PeriodicalIF":5.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Approach to the paediatric patient with suspected pheochromocytoma or paraganglioma versus neuroblastoma. 疑似嗜铬细胞瘤或副神经节瘤与神经母细胞瘤的儿科患者的治疗方法。
IF 5 2区 医学
Journal of Clinical Endocrinology & Metabolism Pub Date : 2024-08-31 DOI: 10.1210/clinem/dgae603
A Emile J Hendriks, Charlotte Burns, Ben Fleming, Ines Harper, Elizabeth Hook, Ruth Armstrong, Christina Pamporaki, Graeme Eisenhofer, Matthew J Murray, Ruth T Casey
{"title":"Approach to the paediatric patient with suspected pheochromocytoma or paraganglioma versus neuroblastoma.","authors":"A Emile J Hendriks, Charlotte Burns, Ben Fleming, Ines Harper, Elizabeth Hook, Ruth Armstrong, Christina Pamporaki, Graeme Eisenhofer, Matthew J Murray, Ruth T Casey","doi":"10.1210/clinem/dgae603","DOIUrl":"https://doi.org/10.1210/clinem/dgae603","url":null,"abstract":"<p><p>Catecholamine producing tumours of childhood include neuroblastic tumours, phaeochromocytoma and paraganglioma (PPGL). PPGL and neuroblastic tumours can arise in similar anatomical locations and clinical presentations can overlap resulting in diagnostic challenges. Distinguishing between these tumour types is critical as management and long-term surveillance strategies differ depending on the diagnosis. Herein we describe two clinical cases and illustrate key considerations in the diagnostic work up of a neuroblastoma versus PPGL for patients presenting with adrenal, pelvic, and retroperitoneal masses in childhood.</p>","PeriodicalId":50238,"journal":{"name":"Journal of Clinical Endocrinology & Metabolism","volume":null,"pages":null},"PeriodicalIF":5.0,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Role of SAA1 in endometrial extracellular matrix remodeling in polycystic ovary syndrome: implication for pregnancy loss. SAA1 在多囊卵巢综合征子宫内膜细胞外基质重塑中的作用:对妊娠失败的影响。
IF 5 2区 医学
Journal of Clinical Endocrinology & Metabolism Pub Date : 2024-08-30 DOI: 10.1210/clinem/dgae596
Qinling Zhu, Yuan Wang, Lizhen Xu, Mengjia Shi, Yiwen Meng, Congwen Shao, Yao Lu, Yaqiong He, Jiaan Huang, Xinyu Li, Boyu Li, Yijing Long, Ying Ding, Jia Qi, Wangsheng Wang, Yanzhi Du, Yun Sun
{"title":"Role of SAA1 in endometrial extracellular matrix remodeling in polycystic ovary syndrome: implication for pregnancy loss.","authors":"Qinling Zhu, Yuan Wang, Lizhen Xu, Mengjia Shi, Yiwen Meng, Congwen Shao, Yao Lu, Yaqiong He, Jiaan Huang, Xinyu Li, Boyu Li, Yijing Long, Ying Ding, Jia Qi, Wangsheng Wang, Yanzhi Du, Yun Sun","doi":"10.1210/clinem/dgae596","DOIUrl":"https://doi.org/10.1210/clinem/dgae596","url":null,"abstract":"<p><strong>Context: </strong>Abnormal endometrial extracellular matrix (ECM) remodeling compromises endometrial receptivity and diminishes the probability of a successful live birth. Serum amyloid A1 (SAA1), a modulator of inflammation, is elevated in the circulation of polycystic ovary syndrome (PCOS) patients and involved in ECM remodeling during tissue repair. However, the specific role of SAA1 in endometrial ECM remodeling and subsequent risk of pregnancy loss in PCOS patients remains unclear.</p><p><strong>Objective: </strong>To examine the role and underlying mechanism of SAA1 in ECM remodeling in the endometrium of PCOS patients.</p><p><strong>Design: </strong>Serum samples from PCOS and control patients were utilized to investigate the relationship between the abundance of SAA1 and pregnancy loss. Human endometrial tissues and primary human endometrial stromal cells were used to examine the role and underlying mechanism of SAA1 in ECM remodeling.</p><p><strong>Results: </strong>Serum SAA1 concentration was elevated and could serve as an independent risk of pregnancy loss in PCOS patients. Increased SAA1 abundance was also observed in endometrium obtained from these patients. Further mechanistic studies showed that SAA1 stimulated collagen I chains synthesis (COL1A1 and COL1A2) in endometrial stromal cells, suggesting excessive SAA1 may contribute to endometrial ECM remodeling, resulting in a non-supportive environment for ongoing pregnancy. This effect was abolished by either a toll-like receptors 2/4 antagonist or a nuclear factor κB inhibitor.</p><p><strong>Conclusions: </strong>The locally elevated levels of SAA1 in endometrium contribute to ECM over-deposition by inducing collagen I synthesis in PCOS patients, which may hamper embryo implantation and increase the risk of pregnancy loss. These observations highlight the crucial role of heightened SAA1 in orchestrating endometrial dysfunction and shed light on potential therapeutic avenues for improving reproductive outcomes in PCOS patients.</p>","PeriodicalId":50238,"journal":{"name":"Journal of Clinical Endocrinology & Metabolism","volume":null,"pages":null},"PeriodicalIF":5.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Low C reactive protein-alleles in hepatocyte nuclear factor 1A are associated with an increased risk of cardiovascular disease: a Meta-analysis. 肝细胞核因子 1A 中的低 C 反应蛋白等位基因与心血管疾病风险增加有关:一项 Meta 分析。
IF 5 2区 医学
Journal of Clinical Endocrinology & Metabolism Pub Date : 2024-08-30 DOI: 10.1210/clinem/dgae602
Chaochao Yang, Linong Ji, Xueyao Han
{"title":"Low C reactive protein-alleles in hepatocyte nuclear factor 1A are associated with an increased risk of cardiovascular disease: a Meta-analysis.","authors":"Chaochao Yang, Linong Ji, Xueyao Han","doi":"10.1210/clinem/dgae602","DOIUrl":"https://doi.org/10.1210/clinem/dgae602","url":null,"abstract":"<p><strong>Context: </strong>Rare variants in HNF1A cause both maturity onset diabetes of the young 3 (HNF1A-MODY) and reduced serum C reactive protein (CRP) levels. Common variants of HNF1A are associated with serum CRP and type 2 diabetes, but inconsistently with cardiovascular disease (CVD).</p><p><strong>Objective: </strong>Our study aimed to investigate the association of low CRP-alleles in HNF1A with CVD and indirectly evaluate the CVD risk of HNF1A-MODY patients because of unavailability of enough cases to study their clinical outcomes.</p><p><strong>Data sources: </strong>A literature search was performed using PubMed, Embase and Cochrane Library databases from inception to December 2023.</p><p><strong>Study selection: </strong>All relevant studies concerning the association of HNF1A with CRP, CVD, lipid and type 2 diabetes were included.</p><p><strong>Data extraction: </strong>Odds ratios (ORs), 95% confidence intervals (CIs) and study characteristics were extracted.</p><p><strong>Data synthesis: </strong>Three common coding variants of HNF1A (rs1169288, rs2464196, rs1169289) were examined. The minor alleles of these variants correlated with low CRP levels (OR 0.89, 95%Cl 0.86-0.91; OR 0.89, 95%Cl 0.88-0.91; OR 0.89, 95%Cl 0.88-0.91, respectively). Their low CRP-alleles were associated with increased risk of CVD (OR 1.03, 95%CI 1.03-1.04), higher LDL-cholesterol levels (OR 1.07, 95%CI 1.04-1.10) and elevated risk of type 2 diabetes (OR 1.04, 95%CI 1.01-1.08).</p><p><strong>Conclusions: </strong>Our study revealed an association between low CRP-alleles in HNF1A and a high CVD risk, which indicated that anti-diabetic drugs with cardiovascular benefits such as GLP-1 receptor agonist should be recommended as first-line choice for HNF1A-MODY.</p>","PeriodicalId":50238,"journal":{"name":"Journal of Clinical Endocrinology & Metabolism","volume":null,"pages":null},"PeriodicalIF":5.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gynecomastia and Its Management In Boys With Partial Androgen Insensitivity Syndrome. 部分雄激素不敏感综合征男孩的妇科炎症及其治疗。
IF 5 2区 医学
Journal of Clinical Endocrinology & Metabolism Pub Date : 2024-08-30 DOI: 10.1210/clinem/dgae562
Supitcha Patjamontri, Angela K Lucas-Herald, Jillian Bryce, Erica van den Akker, Martine Cools, Evgenia Globa, Gil Guerra-Junior, Olaf Hiort, Paul Hofman, Paul-Martin Holterhus, Ieuan A Hughes, Anders Juul, Anna Nordenstrom, Gianni Russo, Marianna R Stancampiano, Sumudu N Seneviratne, Rieko Tadokoro-Cuccaro, Ajay Thankamony, Naomi Weintrob, Natalia Zelinska, S Faisal Ahmed
{"title":"Gynecomastia and Its Management In Boys With Partial Androgen Insensitivity Syndrome.","authors":"Supitcha Patjamontri, Angela K Lucas-Herald, Jillian Bryce, Erica van den Akker, Martine Cools, Evgenia Globa, Gil Guerra-Junior, Olaf Hiort, Paul Hofman, Paul-Martin Holterhus, Ieuan A Hughes, Anders Juul, Anna Nordenstrom, Gianni Russo, Marianna R Stancampiano, Sumudu N Seneviratne, Rieko Tadokoro-Cuccaro, Ajay Thankamony, Naomi Weintrob, Natalia Zelinska, S Faisal Ahmed","doi":"10.1210/clinem/dgae562","DOIUrl":"https://doi.org/10.1210/clinem/dgae562","url":null,"abstract":"<p><strong>Introduction: </strong>Partial androgen insensitivity syndrome (PAIS) is a rare condition that is reported to be commonly associated with gynecomastia in males.</p><p><strong>Objectives: </strong>To assess the management of gynecomastia in male PAIS.</p><p><strong>Materials and methods: </strong>Retrospective review of males with PAIS over the age of 10 years in the I-DSD registry.</p><p><strong>Results: </strong>Of the 205 eligible cases, information was available for 57 from 13 centers. An androgen receptor gene variant was confirmed in 45 (79%) with a median age at first presentation of 1.0 year (range 0.1, 26.0). Of the 45 genetically confirmed cases, gynecomastia was present in 41 (91%) with a median age at the time of gynecomastia development of 13.5 years (11.0, 29.0). In the other 4 (9%) with no gynecomastia, the median age at last assessment was 15.7 years (10.6, 17.0). In 30 cases with information available, micropenis was present at the time of gynecomastia development in 23 (77%). Of the 35 with information available, 2 (6%) exhibited spontaneous resolution between the ages of 15 and 21 years and 25 (71%) had breast surgery at a median age of 15.7 years (14.0, 23.0). Of these 25, 9 (26%) had previously received medical therapy. The median clinician score of effectiveness for medical therapy was 3 (1, 8) compared to 10 (3, 10) for surgery (P < .0001). In 31 with information available, 13 (42%) had received psychology support.</p><p><strong>Conclusion: </strong>Gynecomastia is common in PAIS but not universal. Surgical management may be more effective than medical therapy, but there is a need for further standardized and systematic studies.</p>","PeriodicalId":50238,"journal":{"name":"Journal of Clinical Endocrinology & Metabolism","volume":null,"pages":null},"PeriodicalIF":5.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preoperative Serum Lipids as Novel Predictors of Survival in 3575 Papillary Thyroid Cancer Patients. 术前血清脂质作为 3575 例甲状腺乳头状癌患者生存期的新预测指标
IF 5 2区 医学
Journal of Clinical Endocrinology & Metabolism Pub Date : 2024-08-30 DOI: 10.1210/clinem/dgae601
Jimeng Yuan, Zhendong Chen, Jing Zhang, Xianmeng Chen, Shitu Chen, Xumeng Wang, Junbin Zhang, Xingyun Su, Weipu Zhu, Jinghao Sheng, Lisong Teng, Weibin Wang
{"title":"Preoperative Serum Lipids as Novel Predictors of Survival in 3575 Papillary Thyroid Cancer Patients.","authors":"Jimeng Yuan, Zhendong Chen, Jing Zhang, Xianmeng Chen, Shitu Chen, Xumeng Wang, Junbin Zhang, Xingyun Su, Weipu Zhu, Jinghao Sheng, Lisong Teng, Weibin Wang","doi":"10.1210/clinem/dgae601","DOIUrl":"https://doi.org/10.1210/clinem/dgae601","url":null,"abstract":"<p><strong>Purpose: </strong>The objective of this study is to investigate the association between preoperative serum lipids levels and papillary thyroid cancer (PTC) patients' outcomes.</p><p><strong>Methods: </strong>A retrospective cohort study including 3575 PTC patients from year 2012-2016 with follow-ups in our institute were enrolled. Preoperative serum lipids were divided into categorical variables by Receiver-operating curves. Univariable and multivariable cox regression models were developed and independent risk factors were used to construct a nomogram to predict disease-free survival (DFS) rate.</p><p><strong>Results: </strong>Among the 3575 patients, the mean follow-up time was 56.7 months. Comparing with the patients with high level of triglycerides (TAG≥0.605 mmol/L) and high-density lipoprotein (HDL≥0.935 mmol/L), those with low level of TAG (hazard ratio [HR] 2.28 [95% CI, 1.35-3.83]) and HDL (HR 1.64, [1.02-2.62]) had a significantly higher risk of recurrence in PTCs. The 5-year DFS rate of patients with low level of TAG was 94.4%, which was much lower than that in the high level group (97.2%, P<0.001). While TC (P = 0.13), LDL (P = 0.07) and VLDL (P = 0.15) were not statistically correlated with PTCs' recurrence. The nomogram model showed clinical predictive value with the c-index of 0.80 (95% CI 0.73-0.87) and 0.82 (95% CI 0.73-0.90) for 3- and 4-year DFS in the training cohorts.</p><p><strong>Conclusion: </strong>In the present study, we provide initial evidence that low levels of TAG and HDL were independently associated with the recurrence of PTC, indicating that preoperative serum concentrations of lipids are helpful in predicting PTC patients' prognosis in clinical practice.</p>","PeriodicalId":50238,"journal":{"name":"Journal of Clinical Endocrinology & Metabolism","volume":null,"pages":null},"PeriodicalIF":5.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction to: "Inositol for Polycystic Ovary Syndrome: A Systematic Review and Meta-analysis to Inform the 2023 Update of the International Evidence-based PCOS Guidelines". 更正:"肌醇治疗多囊卵巢综合征:为 2023 年国际循证多囊卵巢综合征指南更新提供信息的系统回顾和荟萃分析"。
IF 5 2区 医学
Journal of Clinical Endocrinology & Metabolism Pub Date : 2024-08-29 DOI: 10.1210/clinem/dgae588
{"title":"Correction to: \"Inositol for Polycystic Ovary Syndrome: A Systematic Review and Meta-analysis to Inform the 2023 Update of the International Evidence-based PCOS Guidelines\".","authors":"","doi":"10.1210/clinem/dgae588","DOIUrl":"https://doi.org/10.1210/clinem/dgae588","url":null,"abstract":"","PeriodicalId":50238,"journal":{"name":"Journal of Clinical Endocrinology & Metabolism","volume":null,"pages":null},"PeriodicalIF":5.0,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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