Acta Endocrinologica-Bucharest最新文献

筛选
英文 中文
A STEPWISE APPROACH TO LOCALIZATION STUDIES IN PRIMARY HYPERPARATHYROIDISM. 原发性甲状旁腺功能亢进的分步定位研究。
IF 0.7 4区 医学
Acta Endocrinologica-Bucharest Pub Date : 2024-07-01 Epub Date: 2025-05-23 DOI: 10.4183/aeb.2024.311
G Balci, A B Bahçecioğlu, F Avcı Merdin, M F Erdoğan
{"title":"A STEPWISE APPROACH TO LOCALIZATION STUDIES IN PRIMARY HYPERPARATHYROIDISM.","authors":"G Balci, A B Bahçecioğlu, F Avcı Merdin, M F Erdoğan","doi":"10.4183/aeb.2024.311","DOIUrl":"10.4183/aeb.2024.311","url":null,"abstract":"<p><strong>Purpose: </strong>Primary hyperparathyroidism (PHP) is a prevalent endocrine disorder requiring surgical treatment. The rise of minimally invasive parathyroidectomy as the favored surgical approach emphasizes the significance of localization studies. This study aims to explore clinical and laboratory profiles of PHP patients and evaluate the efficacy of diverse localization methods in a substantial patient cohort.</p><p><strong>Methods: </strong>We analyzed clinical features, biochemical parameters, and imaging outcomes for localization, as well as postoperative histopathological findings in 327 diagnosed PHP patients who underwent surgery. Initial localization methods, which included ultrasonography (US), US-guided Parathormone (PTH) washout analysis, and 99mTechnetium-Sestamibi/123Iodine Scintigraphy (MIBI-SPECT/CT), were applied to all patients. Advanced techniques like Four-Dimensional Computed Tomography (4D-CT) and 18F-Fluorocholine Positron Emission Tomography (18F-FCH PET/CT) were used for cases where initial methods failed and/or for secondary intervention.</p><p><strong>Results: </strong>Minimally invasive surgery accounted for 74% (n=241) of cases. Histopathological analysis revealed single adenoma in 94.5% (n=309) patients, hyperplasia in 5.2% (n=17), and cancer in 0.3% (n=1). Adenoma volume showed a significant positive correlation with serum calcium and parathyroid hormone (PTH) levels (p<0.001). 82 and 26 cases required 4D-CT and 18F-FCH PET/CT respectively, for localization. Positive predictive values (PPV) for imaging modalities were: US (84.56%), US-guided PTH-washout analysis (87.30%), MIBI-SPECT/CT (92.1%), 4D-CT (81.94%), and 18F-FCH PET/CT (95.83%).</p><p><strong>Conclusion: </strong>Serum calcium and PTH levels estimate adenoma size. Initial localization studies (i.e.US, PTH washout and, MIBI-SPECT/CT) effectively localized most adenomas. 4D-CT showed notable efficacy, and 18F-FCH PET/CT had the highest PPV for adenoma localization when the initial studies failed.</p>","PeriodicalId":50902,"journal":{"name":"Acta Endocrinologica-Bucharest","volume":"20 3","pages":"311-317"},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CLINICALLY SILENT SOMATOTROPH ADENOMA PRESENTING WITH ACUTE CARPAL TUNNEL SYNDROME: A CASE WITH 14-YEAR FOLLOW-UP AND REVIEW OF THE LITERATURE. 临床沉默的生长发育腺瘤表现为急性腕管综合征:1例14年随访和文献复习。
IF 0.7 4区 医学
Acta Endocrinologica-Bucharest Pub Date : 2024-07-01 Epub Date: 2025-05-23 DOI: 10.4183/aeb.2024.403
N Kurtulmus, K Kayikci, S Yarman
{"title":"CLINICALLY SILENT SOMATOTROPH ADENOMA PRESENTING WITH ACUTE CARPAL TUNNEL SYNDROME: A CASE WITH 14-YEAR FOLLOW-UP AND REVIEW OF THE LITERATURE.","authors":"N Kurtulmus, K Kayikci, S Yarman","doi":"10.4183/aeb.2024.403","DOIUrl":"10.4183/aeb.2024.403","url":null,"abstract":"<p><strong>Objective: </strong>Carpal tunnel syndrome(CTS) is a neuropathy of the upper limb that is quite common in patients with active acromegaly, but the diagnosis of acromegaly is often made years after the diagnosis of CTS. But in the absence of the typical acral phenotype it is difficult to know when CTS will appear as the first symptom.</p><p><strong>Method: </strong>Here, we present a 27-year-old female patient with a history of numbness that first appeared in her right hand and 2 weeks later in her left hand. While the etiology of acute CTS was being investigated on cervical MRI, the hormonal evaluation of the incidentally detected mass in the sella turcica revealed that it was a clinically silent somatotroph adenoma.</p><p><strong>Results: </strong>Considering the patient's age, desire to have children, lack of typical acral features, the fact that these adenomas may cause phenotypic changes over time, their aggressive course and more recurrences, the decision for transsphenoidal surgery was made. The patient, who has been followed for 14 years, has two healthy children and does not have any complaints, acral phenotype or GH hormone excess.</p><p><strong>Conclusion: </strong>Awareness that acute unilateral/bilateral CTS without any risk factors may be the first sign of clinically silent somatotrophinoma may improve the prognosis of acromegaly by preventing diagnostic delay.</p>","PeriodicalId":50902,"journal":{"name":"Acta Endocrinologica-Bucharest","volume":"20 3","pages":"403-407"},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
IODINATED CONTRAST MEDIA INDUCED THYROID STORM AND ACUTE CORONARY SYNDROME: A CASE REPORT. 碘造影剂致甲状腺风暴和急性冠状动脉综合征1例报告。
IF 0.7 4区 医学
Acta Endocrinologica-Bucharest Pub Date : 2024-07-01 Epub Date: 2025-05-23 DOI: 10.4183/aeb.2024.384
J Bjekic-Macut, T Baltic, T Petrovic Nikolic, M Brankovic, M Brajkovic, N Nikolic, N Ivanovic, M Zdravkovic
{"title":"IODINATED CONTRAST MEDIA INDUCED THYROID STORM AND ACUTE CORONARY SYNDROME: A CASE REPORT.","authors":"J Bjekic-Macut, T Baltic, T Petrovic Nikolic, M Brankovic, M Brajkovic, N Nikolic, N Ivanovic, M Zdravkovic","doi":"10.4183/aeb.2024.384","DOIUrl":"10.4183/aeb.2024.384","url":null,"abstract":"<p><strong>Background: </strong>A thyroid storm is an extreme disorder that occurs in severe thyrotoxicosis. This condition is life-threatening, with mortality rates up to 10-20%. A typical dose of iodinated contrast media (ICM) contains approximately 13,500 μg of free iodide and 15-60 g of bound iodine, representing an acute iodide load of 90 to several hundred thousand times the recommended daily intake of 150 μg. As a result of sudden exposure to high iodide loads, thyroid hormone regulation can be disrupted, leading to hypothyroidism (Wolff-Chaikoff effect) or hyperthyroidism (Jod-Basedow phenomenon), particularly in those with underlying nodular thyroid disease.</p><p><strong>Case description: </strong>A 37-year-old man presented to the emergency room (ER) with clinical and electrocardiographic signs of acute myocardial infarction. Primary PCI with iodinated contrast was performed. After the intervention, laboratory analyses revealed thyrotoxicosis, and the patient was administered initial thyrosuppressive therapy along with cardiac therapy and discharged from the hospital. One week later, he returned to the hospital with signs of a thyroid storm.</p><p><strong>Conclusion: </strong>This case report aimed to raise awareness regarding the routine evaluation of thyroid function in patients with and without previous signs and symptoms of thyrotoxicosis who had undergone acute myocardial infarction and coronary angiography.</p>","PeriodicalId":50902,"journal":{"name":"Acta Endocrinologica-Bucharest","volume":"20 3","pages":"384-387"},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
THE RELATIONSHIP BETWEEN POTENTIAL DIET INFLAMMATORY LOAD AND CHEMERIN, ANDROGENS AND INSULIN RESISTANCE IN WOMEN WITH POLYCYSTIC OVARY SYNDROME. 多囊卵巢综合征女性潜在饮食炎症负荷与趋化素、雄激素和胰岛素抵抗的关系
IF 0.7 4区 医学
Acta Endocrinologica-Bucharest Pub Date : 2024-07-01 Epub Date: 2025-05-23 DOI: 10.4183/aeb.2024.295
F H Zengin, E Karabudak, T Omma, C Culha
{"title":"THE RELATIONSHIP BETWEEN POTENTIAL DIET INFLAMMATORY LOAD AND CHEMERIN, ANDROGENS AND INSULIN RESISTANCE IN WOMEN WITH POLYCYSTIC OVARY SYNDROME.","authors":"F H Zengin, E Karabudak, T Omma, C Culha","doi":"10.4183/aeb.2024.295","DOIUrl":"10.4183/aeb.2024.295","url":null,"abstract":"<p><strong>Background: </strong>In recent years, the effect of inflammation on the pathophysiology of polycystic ovary syndrome (PCOS) has attracted considerable attention. However, the effect of the dietary inflammatory load remains unclear.</p><p><strong>Objective: </strong>This study was conducted to evaluate the relationship between dietary inflammatory index (DII) score and serum chemerin concentration, biochemical hyperandrogenism and insulin resistance in women with PCOS.</p><p><strong>Methods: </strong>This study, which is a case-control study, was conducted on 44 women with PCOS and 44 healthy women who applied to Ankara Training and Research Hospital. Routine blood biochemical values were obtained from the hospital system and blood samples were taken for serum chemerin analysis. The questionnaire investigated the general information, physical activity status, and anthropometric measurements. The DII was calculated from three-day dietary records.</p><p><strong>Results: </strong>The mean DII score of the in the PCOS and control groups is 3.8 ± 1.7 and 3.8 ± 1.4, respectively (p> 0.05). Serum chemerin concentration (3.6 ± 1.4 ng / mL) of the women in the PCOS group with a high DII score was significantly higher than the women in the control group (2.6 ± 1.7 ng / mL) (p <0.05). There was no statistically significant difference between DII score and insulin resistance, total and free testosterone, DHEA-S, LH, FSH, LH/FSH ratio and estradiol values (p>0.05).</p><p><strong>Conclusions: </strong>The highest serum chemerin concentrations was found in the PCOS group with the highest DII. Results suggest that an inflammatory diet may be associated with serum chemerin concentration in PCOS.</p>","PeriodicalId":50902,"journal":{"name":"Acta Endocrinologica-Bucharest","volume":"20 3","pages":"295-303"},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
EVALUATION AND MANAGEMENT OF PARATHYROID INCIDENTALOMAS DETECTED BY ROUTINE NECK ULTRASONOGRAPHY WITH A MULTIDISCIPLINARY CLINICAL APPROACH. 多学科临床方法对常规颈部超声检查发现甲状旁腺偶发瘤的评价和处理。
IF 0.7 4区 医学
Acta Endocrinologica-Bucharest Pub Date : 2024-04-01 Epub Date: 2025-01-18 DOI: 10.4183/aeb.2024.179
S Ince, M Buldanli, A Cinar, O Hancerliogullari, K Okuyucu
{"title":"EVALUATION AND MANAGEMENT OF PARATHYROID INCIDENTALOMAS DETECTED BY ROUTINE NECK ULTRASONOGRAPHY WITH A MULTIDISCIPLINARY CLINICAL APPROACH.","authors":"S Ince, M Buldanli, A Cinar, O Hancerliogullari, K Okuyucu","doi":"10.4183/aeb.2024.179","DOIUrl":"10.4183/aeb.2024.179","url":null,"abstract":"<p><strong>Contex: </strong>Detection of parathyroid incidentalomas (PTIs) by ultrasonography (US) generally depends on clinical experience and it can be usually confused with perithyroidal lymph nodes.</p><p><strong>Objective: </strong>We aimed to evaluate the role of US for the detection of PTIs and define clinicopathologic features of PTIs detected during routine neck US.</p><p><strong>Design: </strong>In this retrospective study, we studied PTIs in a multidisciplinary clinical approach of nuclear medicine and general surgery clinics.</p><p><strong>Subjects and methods: </strong>US indications and reports of 41275 were reviewed retrospectively. Of these patients, PTI was suspected in 66 (0.16%) patients. Those with a pathology-confirmed diagnosis after surgery formed Group PCD and those without a pathology-confirmed diagnosis and operation Group NPCD. These groups were compared statistically according to demographic data, laboratory tests, imaging results and postoperative findings.</p><p><strong>Results: </strong>The diagnosis of PTI was confirmed pathologically in 31 operated patients. Other pathologies rather than PTI on US were multinodular goiter, thyroiditis, thyroid nodule and perithyroidal lymph node. PTH and calcium levels were significantly higher in PCD Group;anti-TPO and anti-TG levels were significantly higher in NPCD Group.</p><p><strong>Conclusions: </strong>Lesions suspected of PTI on US should be followed-up with further evaluation by laboratory tests and imaging methods and a multidisciplinary working environment should be established.</p>","PeriodicalId":50902,"journal":{"name":"Acta Endocrinologica-Bucharest","volume":"20 2","pages":"179-185"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PHARMACOVIGILANCE AND KNOWLEDGE, ATTITUDE, AND PRACTICE STUDY ON ANTI-DIABETIC MEDICATIONS IN GERIATRIC CLINICS AT A TERTIARY CARE HOSPITAL. 某三级医院老年门诊抗糖尿病药物警戒与用药知识、态度及实践研究
IF 0.7 4区 医学
Acta Endocrinologica-Bucharest Pub Date : 2024-04-01 Epub Date: 2025-01-18 DOI: 10.4183/aeb.2024.249
S Priya, V H Pushpa, S Avarebeel, H L Kalabharathi, M K Jayanthi, V G Doddawad
{"title":"PHARMACOVIGILANCE AND KNOWLEDGE, ATTITUDE, AND PRACTICE STUDY ON ANTI-DIABETIC MEDICATIONS IN GERIATRIC CLINICS AT A TERTIARY CARE HOSPITAL.","authors":"S Priya, V H Pushpa, S Avarebeel, H L Kalabharathi, M K Jayanthi, V G Doddawad","doi":"10.4183/aeb.2024.249","DOIUrl":"10.4183/aeb.2024.249","url":null,"abstract":"<p><strong>Introduction: </strong>Diabetes mellitus, a chronic metabolic disorder stemming from pancreatic dysfunction, is surging in India, notably among those aged 60 and above. The escalating disease prevalence in this demographic necessitates heightened medication use, escalating the risk of Adverse Drug Reactions (ADRs). This underscores the vital role of ADR monitoring to curtail potential harm.</p><p><strong>Method: </strong>A 12-month cross-sectional, prospective, observational study engaged 200 participants from the geriatric Outpatient Department (OPD). Diabetic patients in the geriatric OPD, willing to participate, underwent face-to-face evaluations using a structured questionnaire focused on adverse reactions to anti-diabetic medications. The study also included a Knowledge, Attitude, and Practice (KAP) assessment.</p><p><strong>Results: </strong>Of the 200 patients, 57% were male, 43% female. Thirteen participants (7 male, 6 female) reported ADR encounters during therapy, predominantly categorized as mild in causality and severity. KAP assessments unveiled a robust understanding of ADRs, primarily shaped by physicians and reinforced by pharmacists. Anticipation of ADR occurrence was noted in 70% of respondents, linked to non-compliance and lifestyle factors.</p><p><strong>Conclusion: </strong>Educating caregivers about the critical importance of monitoring medication adherence among the elderly is imperative. Cultivating an attitude of reporting even minor ADRs to appropriate authorities is essential for harm prevention.</p>","PeriodicalId":50902,"journal":{"name":"Acta Endocrinologica-Bucharest","volume":"20 2","pages":"249-255"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
SPATIAL MEMORY RECOVERY IN AGED MALE RATS TREATED WITH LEUPROLIDE ACETATE, A GNRH AGONIST. GNRH激动剂醋酸leuprolide治疗老年雄性大鼠的空间记忆恢复。
IF 0.7 4区 医学
Acta Endocrinologica-Bucharest Pub Date : 2024-04-01 Epub Date: 2025-01-18 DOI: 10.4183/aeb.2024.127
M Macedo-Mendoza, D Calderón-Vallejo, M L González-Torres, A Martínez-Martínez, D Gasca-Martínez, E M Orta Salazar, J L Quintanar
{"title":"SPATIAL MEMORY RECOVERY IN AGED MALE RATS TREATED WITH LEUPROLIDE ACETATE, A GNRH AGONIST.","authors":"M Macedo-Mendoza, D Calderón-Vallejo, M L González-Torres, A Martínez-Martínez, D Gasca-Martínez, E M Orta Salazar, J L Quintanar","doi":"10.4183/aeb.2024.127","DOIUrl":"10.4183/aeb.2024.127","url":null,"abstract":"<p><strong>Context: </strong>Studies indicate a decrease in spatial memory across species as they age. Moreover, consistent administration of Gonadotropin-releasing hormone (GnRH) improves learning abilities in older rats that have undergone gonadectomy.</p><p><strong>Objective: </strong>The aim of this study was to investigate the effects of the GnRH agonist, leuprolide acetate (LA) on spatial memory in aged intact male rats and the expression of proteins associated with hippocampal plasticity.</p><p><strong>Subjects and methods: </strong>Aged male rats were injected with LA or saline every three days for nine weeks to assess the effects of LA on spatial memory. The aged rats were trained in the Morris Water Maze for four days, and the evaluation took place on the fifth day. Additionally, the Y-maze test was used to investigate short-term spatial memory. The expression of spinophilin and microtubule-associated protein 2 (MAP2) in the hippocampus was measured.</p><p><strong>Results: </strong>Behavioral tests revealed that LA improves spatial memory in aged rats. Additionally, we observed increased expression of spinophilin and MAP2 in the hippocampus of aged male rats following LA treatment. Based on these results, the administration of LA holds is a potential treatment for restoring cognitive function in aged individuals.</p>","PeriodicalId":50902,"journal":{"name":"Acta Endocrinologica-Bucharest","volume":"20 2","pages":"127-135"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
THE USE OF ORAL BISPHOSPHONATES IN REFRACTORY SEVERE HYPERCALCEMIA AFTER DENOSUMAB CESSATION. 口服双膦酸盐治疗地地单抗停药后难治性严重高钙血症。
IF 0.7 4区 医学
Acta Endocrinologica-Bucharest Pub Date : 2024-04-01 Epub Date: 2025-01-18 DOI: 10.4183/aeb.2024.231
M E Bilici, Z Siklar, E Unal, N Tacyildiz, Z Aycan, E Ozsu, R Uyanik, M Berberoglu
{"title":"THE USE OF ORAL BISPHOSPHONATES IN REFRACTORY SEVERE HYPERCALCEMIA AFTER DENOSUMAB CESSATION.","authors":"M E Bilici, Z Siklar, E Unal, N Tacyildiz, Z Aycan, E Ozsu, R Uyanik, M Berberoglu","doi":"10.4183/aeb.2024.231","DOIUrl":"10.4183/aeb.2024.231","url":null,"abstract":"<p><p>Denosumab,a monoclonal IgG2 antibody directed against RANK-L,is used as a neoadjuvant therapy for inoperable or metastatic giant cell tumor of bone. Many side effects like as hypocalcemia during treatment and rarely severe hypercalcemia especially in children after discontinuation of denosumab occurred. The unpredictable onset and recurrent episodes of severe hypercalcemia increase the duration of hospitalization and the risk of complications. Persistent hypercalcemia and difficulties in management have prompted the search for different more effective therapeutic options.</p><p><strong>Objectives: </strong>To share our experience with the use of oral bisphosphonate in acute and long-term therapy of severe hypercalcemia following high-dose denosumab therapy and to review the literature on this subject.</p><p><strong>Case: </strong>We report the management of a case of severe hypercalcemia that developed 4 months after the completion of 18-month denosumab treatment in a 9-year-old girl who was followed up with a giant cell bone tumor for 6 years. Based on an evaluation aiming to determine etiology, hypercalcemia was considered as \"rebound-linked\" upon denosumab discontinuation. Severe hypercalcemia attacks recurring with an interval of 2 weeks were treated with IV bisphosphonate, but when mild hypercalcemia developed again, treatment with 70 mg per week of oral bisphosphonate was planned. After the second dose of alendronate, the calcium level always remained below 10.5 mg/dl. In the 14-month follow-up, no hypercalcemia attack was observed again.</p><p><strong>Results: </strong>Rebound hypercalcemia can occur as an unpredictable recurrent episode at any time after denosumab cessation. Thus, the patient should be closely monitored especially in childhood due to rapid bone cycle. In long-term follow-up, oral biphosphonates can be used effectively to reduce hospitalization time and the management of especially life-threatening recurrent attacks.</p>","PeriodicalId":50902,"journal":{"name":"Acta Endocrinologica-Bucharest","volume":"20 2","pages":"231-235"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
THE EVALUATION OF SHORT AND LONG-TERM QUALITY OF LIFE IN PATIENTS UNDERGOING THYROIDECTOMY DUE TO BENIGN OR MALIGNANT DISEASES. 良性或恶性疾病致甲状腺切除术患者的短期和长期生活质量评价。
IF 0.7 4区 医学
Acta Endocrinologica-Bucharest Pub Date : 2024-04-01 Epub Date: 2025-01-18 DOI: 10.4183/aeb.2024.170
S Erkan, T Avci, R Gündoğdu, F Özarslan, H Yabanoglu, M Yavuz Çolak, Ö Albuz
{"title":"THE EVALUATION OF SHORT AND LONG-TERM QUALITY OF LIFE IN PATIENTS UNDERGOING THYROIDECTOMY DUE TO BENIGN OR MALIGNANT DISEASES.","authors":"S Erkan, T Avci, R Gündoğdu, F Özarslan, H Yabanoglu, M Yavuz Çolak, Ö Albuz","doi":"10.4183/aeb.2024.170","DOIUrl":"10.4183/aeb.2024.170","url":null,"abstract":"<p><strong>Context: </strong>In patients undergoing thyroidectomy for malignant disease, lower quality of life scores were observed in the early postoperative period compared to those undergoing thyroidectomy for benign causes.</p><p><strong>Objective: </strong>Thyroid gland diseases are commonly encountered in society. This study presents health-related quality of life differences in thyroidectomies performed for benign and malignant diseases and the factors affecting this.</p><p><strong>Design: </strong>Patients who underwent thyroidectomy for thyroid disease between January 2021 and January 2022 were evaluated prospectively.</p><p><strong>Subjects and methods: </strong>The SF 36 questionnaire was applied and interpreted at the 1<sup>st</sup> and 6<sup>th</sup> months after thyroidectomy in patients over the age of 18 who did not have a history of previous thyroid surgery.</p><p><strong>Results: </strong>The study included a total of 228 patients. Among them, 171 (75%) were female (male/female: 57/171). Multinodular goiter in benign cases and papillary carcinoma in malignant cases were predominant (68.3% and 90.6%, respectively). SF-36 scores were found to be worse in the malignant group.</p><p><strong>Conclusion: </strong>In patients undergoing thyroidectomy for malignant disease, lower quality of life scores were observed in the early postoperative period compared to those undergoing thyroidectomy for benign causes.</p>","PeriodicalId":50902,"journal":{"name":"Acta Endocrinologica-Bucharest","volume":"20 2","pages":"170-178"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
SWEET'S SYNDROME ASSOCIATED WITH PHEOCHROMOCYTOMA: A RARE CASE REPORT AND REVIEW OF LITERATURE. 嗜铬细胞瘤合并斯威特氏综合征:一例罕见病例报告及文献复习。
IF 0.7 4区 医学
Acta Endocrinologica-Bucharest Pub Date : 2024-04-01 Epub Date: 2025-01-18 DOI: 10.4183/aeb.2024.222
M I Chiriac Bozac, S A Big, R A Maxim, C E Georgescu, N Crisan, V Gherman
{"title":"SWEET'S SYNDROME ASSOCIATED WITH PHEOCHROMOCYTOMA: A RARE CASE REPORT AND REVIEW OF LITERATURE.","authors":"M I Chiriac Bozac, S A Big, R A Maxim, C E Georgescu, N Crisan, V Gherman","doi":"10.4183/aeb.2024.222","DOIUrl":"10.4183/aeb.2024.222","url":null,"abstract":"<p><strong>Background: </strong>Sweet's syndrome (SS) or acute febrile neutrophilic dermatosis is a dermatological illness that can be described by tender erythematous plaques or nodules and acute onset fever. The etiology is multifactorial and is not fully understood. SS is separated in three subclasses: classical, malignancy-associated, and drug-induced. It was shown that this syndrome can reveal an underlying hematological or solid malignancy.</p><p><strong>Case presentation: </strong>We report the case of a 55-year-old female patient referred to the Urology department for management of pheochromocytoma in the right adrenal gland, revealed by abdominal imaging in another medical unit during the evaluation and diagnosis of multiple mucocutaneous lesions, characterized by erythematous-violaceous plaques and nodules, and painful aphthous ulcers of the tongue. The eruption of each lesion was preceded by low-grade fever and chills. The hormonal profile highlighted the presence of elevated normetanephrines. We performed 3D laparoscopic transperitoneal right adrenalectomy after preoperative treatment with alpha blocker therapy. The clinical outcome was favourable, given that the cutaneous lesions started to heal after the surgery.</p><p><strong>Conclusions: </strong>Sweet's syndrome in association with pheochromocytoma is a very rare condition, only few cases were described in literature to our knowledge. The multidisciplinary collaboration is extremely important in the management of such cases.</p>","PeriodicalId":50902,"journal":{"name":"Acta Endocrinologica-Bucharest","volume":"20 2","pages":"222-230"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信
小红书