A case of a prolactinoma resistant to dopamine agonists

Irene Vourliotaki, Ingrid Elizabeth Bonapart, Catherine Stamataki, Eva-Maria Tsapakis, Catherine Saridaki

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Dopamine agonists are the drugs of choice in the treatment of prolactinomas, the most common type of pituitary adenomas. However, up to 25% of prolactinomas do not respond to these drugs and alternative treatments have to be considered. We describe a 37-year old female with a microprolactinoma who, although having received all available formulations of dopamine agonists …

ASSOCIATION OF ???ROID FUNCTION WITH ARTERIAL PRESSURE IN EUTHYROID INDIVIDUALS

Alevizaki M.1, Saltiki K.2, Voidonikola P.3, Anastasiou E.2, Stamatelopulos K.3, Papamichael Ch.3 1Endocrine Unit, Evgenidion Hospital, Athens University School of Medicine, Greece, 2Dept Medical Therapeutics, Alexandra Hospital, Athens University School of Medicine, Greece., 3Vascular Laboratory, Dept of Medical Therapeutics, Alexandra Hospital, Athens University School of Medicine Abstract Objectives: Overt hypothyroidism has been associated with arterial Read More

ABERRANT EXPRESSION OF HUMAN THYROID HORMONE RECEPTOR BETA 1 PROTEIN MAY BE REGULATED BY ALTERNATIVE UNTRANSLATED REGIONS OF THRB1 MRNA IN CLEAR CELL RENAL CELL CARCINOMA (CCRCC)

Master A.1, Piekielko-Witkowska A.1, Poplawski P.1, Lampkowska J.1, Wojcicka A.1, Brozda I.1, Tanski Z.2, Williams G.R. 3, Nauman A.1 1Medical Center of Postgraduate Education, Department of Biochemistry and Molecular Biology, Warsaw, Poland, 2Province Hospital, Department of Urology, Ostroleka, Poland, 3Molecular Endocrinology Group, Imperial College London, MRC Clinical Sciences Centre, Hammersmith Hospital, London, UK Abstract Background Read More

INTERACTION OF TIME ON SELENIUM INDUCED REDUCTION OF ANTI-TPO CONCENTRATIONS IN PATIENTS WITH AUTOIMMUNE THYROIDITIS

Duntas L.1, Boutsiadis A.1, Loukari E.1, Mantzou E.1, Pitsouni E.2 1Endocrine Unit, Evgenidion Hospital, University of Athens, Greece, 2Biomedical Laboratory, Evgenidion Hospital, University of Athens,Greece Abstract Objective and Aim: Selenium supplementation can decrease anti-TPO levels in patients with autoimmune thyroiditis (AIT. This study was performed to evaluate the relationship between serum selenium concentrations and the Read More

POSITIVE PREDICTIVE VALUES OF SONOGRAPHIC FEATURES OF SOLID THYROID NODULE

Son E.J., Kim E.K., Kwak J.Y., Hong S.W., Chang H.S. Yonsei University, College of Medicine, Seoul, Korea Abstract Objective: The purpose of this study was to assess the positive predictive value of the suspicious sonographic features of solid nodules of the thyroid. Materials and Methods: We evaluated 594 sonographically detected nodules on which the fine Read More

THYROID STUNNING IN HYPERTHYROID PATIENTS

Lundh C.1, Lindencrona U.1, Himmelman J.1, Lundström A.1, Berg G.2, Forssell-Aronsson E.1 1Dept. of Radiation Physics, University of Gothenburg, Göteborg, Sweden, 2Dept. of Oncology, University of Gothenburg, Göteborg, Sweden Abstract Thyroid stunning is discussed mainly regarding thyroid carcinoma patients undergoing radioiodine treatment. Attempts have been made to identify the highest absorbed dose that does not Read More

CLINICAL COURSE AFTER RE-OPERATION FOR RECURRENT PAPILLARY THYROID CARCINOMA IN THE PATIENTS WITH HIGH STIMULATED THYROGLOBULIN VALUE AFTER TOTAL THYROIDECTOMY WITH REMNANT ABLATION

Jeong J.Y.1, Kim W.G.1, Kim T.Y.1, Kim E.Y.1, Gong G.2, Hong S.J.3, Kim T.M.4, Kim W.B.1, Shong Y.K.1 1Department of Internal Medicine, Asan Medical Center/ University of Ulsan College of Medicine, Seoul, Korea, 2Department of Pathology, Asan Medical Center University of Ulsan College of Medicine, Seoul, Korea, 3Department of Surgery, Asan Medical Center University of Read More

Reassessment of combined LT4 and LT3 treatment for hypothyroidism: the prospects for slow-release T3 preparations

Leonidas H. Duntas

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The introduction of synthetic levothyroxine (LT4) in the late 60’s for treatment of hypothyroidism radically changed the therapeutic approach for patients with thyroid failure, enabling a more physiologic, dose-related treatment. Subsequently, the availability of LT4 preparations at a variety of doses led to an even more precise and individualized treatment schedule. Concomitantly, the acquired knowledge that …

The use of Data Mining in the categorization of patients with Azoospermia

Themistoklis Mikos, Konstantinos Pantazis, Dimitrios G. Goulis, Nikolaos Maglaveras, John N. Bontis, John Papadimas

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OBJECTIVE: Data Mining is a relatively new field of Medical Informatics. The aim of this study was to compare Data Mining diagnosis with clinical diagnosis by applying a Data Miner (DM) to a clinical dataset of infertile men with azoospermia. DESIGN: One hundred and forty-seven azoospermic men were clinically classified into four groups …

Increased goiter prevalence in schoolchildren of Isfahan despite long-term iodine sufficiency

Mansour Siavash, Ammar Hassanzadeh Keshteli, Mahin Hashemipour, Masoud Amini

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OBJECTIVE: Iodine Deficiency (ID) was for years considered a contributing factor for endemic goiter in Iran. The present study was conducted to assess the goiter prevalence and iodine status in schoolchildren of Isfahan 16 years after the initiation of salt iodization in Iran …

Identification of four novel mutations in the thyroid hormone receptor-β gene in 164 Spanish and 2 Greek patients with resistance to thyroid hormone

Antonio J. Amor, Irene Halperin, Rocίo Alfayate, Victoria M. Borrás, Arancha Escribano, Cintia González, Antonio Gutirrez, Montserrat Mauri, Pilar Pérez, Antonio Picό, Irene Vourliotaki, Josep Oriola

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OBJECTIVE: The aim of the study was to describe the clinical, biochemical, and genetic features of a sample of Mediterranean patients with RTH (resistance to thyroid hormone) due to mutations in TRβ (thyroid hormone receptor beta) referred to our institution during the last 15 years …

Peculiarities of presentation and evolution over time of Hashimoto’s thyroiditis in children and adolescents with Down’s syndrome

Tommaso Aversa, Mariacarolina Salerno, Giorgio Radetti, Maria Felicia Faienza, Lorenzo Iughetti, Andrea Corrias, Barbara Predieri, Alessandro Mussa, Silvestro Mirabelli, Filippo De Luca, Malgorzata Wasniewska

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BACKGROUND: Studies concerning presentation and evolution over time of Hashimoto’s thyroiditis (HT) in children with Down’s syndrome (DS) are few, are based on limited study populations and do not include control HT groups without DS. The aim of this multicenter study was to shed further light on the relationships between DS and HT in childhood …

Lipid accumulation product is associated with metabolic syndrome in women with polycystic ovary syndrome

Djuro Macut, Ivana Božić Antić, Jelica Bjekić-Macut, Dimitrios Panidis, Konstantinos Tziomalos, Danijela Vojnović Milutinović, Olivera Stanojlović, Biljana Kastratović-Kotlica, Milan Petakov, Nataša Milić

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OBJECTIVE: There is a need for a simple and accurate method for the assessment of cardiovascular risk in polycystic ovary syndrome (PCOS). Lipid accumulation product (LAP) is based on the assessment of waist circumference and serum triglycerides that yield an estimation of lipid overaccumulation. We aimed to determine whether LAP is associated with metabolic syndrome (MetS) in Caucasian women with PCOS …

Efficacy and safety of combined parenteral and oral steroid therapy in Graves’ orbitopathy

Biljana Nedeljkovic Beleslin, Jasmina Ciric, Milos Zarkovic, Mirjana Stojkovic, Slavica Savic, Miroslav Knezevic, Branislav Stankovic, Bozo Trbojevic

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OBJECTIVE: Glucocorticoids (GC) are the treatment of choice for moderate-to-severe and active Graves’ orbitopathy (GO), but optimal treatment is still . The aim of the present study was to analyze the efficacy and tolerability of combined parenteral GC pulse therapy followed by oral GC in the interpulse period …

Serum inhibin-B and follicle stimulating hormone as predictors of the presence of sperm in testicular fine needle aspirate in men with azoospermia

Dimitrios G. Goulis, Paris Polychronou, Themistokis Mikos, Grigorios Grimbizis, Sriridon Gerou, Vassiliki Pavlidou, Athanasios Papanikolaou, Basil C. Tarlatzis, Ioannis N. Bontis, Ioannis Papadimas

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Objective: Inhibin-B (Inh-B) is produced by Sertoli cells and controls Follicle Stimulating Hormone (FSH) secretion through a negative feedback mechanism. The primary aim of this study was to compare Ιnh-B with FSH as predictors of the recovery of sperm in testicular fine needle aspirate in men with azoospermia …

Effect of Restoration of Euthyroidism on Peripheral Blood Cells and Erythropoietin in Women with Subclinical Hypothyroidism

Mirjam Christ-Crain, Christian Meier, Peter Huber, Henryk Zulewski, Jean-Jacques Staub, Beat Müller

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Background: In overt hypothyroidism (OH) anemia is common, while less frequently basophilia has been described. In subclinical hypothyroidism (SCH), however, data on the distribution of peripheral blood cells are lacking. Therefore, we evaluated the effects of L-T4 replacement therapy on peripheral blood elements in female patients with SCH before and after restoration …

Roles of Protein Kinase A (PKA) and PKC on Corticotropin-Releasing Hormone (CRH)-Induced Elevation of Cytosolic Calcium from Extra- and Intra-cellular Sources

Irini Dermitzaki, Christos Tsatsanis, Vassiliki-Ismini Alexaki, Elias Castanas, Andrew N. Margioris

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Corticotropin-releasing hormone (CRH) affects cytosolic calcium ion levels. The aim of the present work was to examine the role of protein kinase A (PKA)- and PKC-dependent signalling pathways in mediating the effect of CRH on calcium ion influx (from extra-cellular sources) and calcium ion mobilization (from intra-cellular stores)…

Pituitary-adrenal responses following major abdominal surgery

Ioanna Dimopoulou, Marinella Tzanela, Dimitra Vassiliadi, Irini Mavrou, Petros Kopterides, Stylianos Orfanos, Anastasia Kotanidou, Styliani Kontogiannopoulou, Spyridon Vasdekis, Iraklis Tsangaris, Apostolos Armaganidis, Anastasios Macheras, Ioannis Ilias, Georgia Kostopanagiotou, Stylianos Tsagarakis

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OBJECTIVE: Perioperative pituitary-adrenal responses after major abdominal surgery have not been well characterized. The aim of the present study was to further clarify perioperative pituitary-adrenal responses. DESIGN: Thirty-six patients (20 men), aged 68±10 years (mean±SD), undergoing major abdominal operations were studied …

IDENTIFICATION OF KEY RESIDUES ON THYROID PEROXIDASE CONTRIBUTING TO THE BINDING OF MOUSE MONOCLONAL ANTIBODIES SPECIFIC FOR IMMUNODOMINANT REGIONS

Godlewska M.1, Gora M.1, 2, Krasuska W.1, Banga J.P.3, Gardas A.1 1Department of Biochemistry and Molecular Biology, Medical Centre of Postgraduate Education, Warsaw, Poland, 2Department of Genetics, Institute of Biochemistry and Biophysics PAS, Warsaw, Poland, 3Division of Gene and Cell Based Therapy, King’s College London School of Medicine, London, UK Abstract The major target autoantigen Read More

EFFECTS OF LONG TERM IODINE INTERVENTION PROGRAM ON THE INDICATORS OF IODINE SUFFICIENCY

Mirmiran P. Salarkia N., Hedayati M., Azizi F. Endocrine Research Center, National Nutrition and Food Technology Research Institute, Shaheed Beheshti University and Medical Services, Tehran, Iran Abstract Objective: The purpose of this study was to evaluate the effect of 10 years iodine supplementation on the IDD impact indicators in the iodine deficient schoolchildren of villages Read More

ROLE OF OATP1 SUBFAMILY IN IODOTHYRONINE (SULFATE) TRANSPORT AND METABOLISM

Van der Deure W., Peeters R., Visser T. Department of Internal Medicine, Erasmus University Medical Center Rotterdam, The Netherlands Abstract As a prerequisite for intracellular processes like deiodination, sulfoconjugation or binding to the thyroid hormone (TH) receptor, TH is actively transported across the cell membrane by TH transporters. Several proteins can facilitate this transport, such Read More

MEASUREMENT OF BASAL SERUM THYROGLOBULIN (TG) WITH ULTRASENSITIVE ASSAYS ON LEVO-THYROXINE THERAPY (LT4) IN THE FOLLOW-UP OF PATIENTS WITH DIFFERENTIATED THYROID CARCINOMA (DTC): TOO EARLY TO DISMISS THE RHTSH STIMULATION TEST

Castagna M. G., Cipri C., Tala H., Fioravanti C., Pasqui L., Sestini F., Brilli L. Belardini V., Ghezzi M., Pacini F. Department of Internal Medicine, Endocrinology, Metabolism and Biochemistry, Section of Endocrinology and Metabolism, University of Siena, Italy Abstract Recently, two different ultrasensitive serum Tg assays with low functional sensitivity (FS) (0.11 ng/ml Tg Access Read More

Chronic autoimmune thyroid disease in children and adolescents in the years 1999-2004 in Lower Silesia, Poland

Teresa Zak, Anna Noczýnska, Renata Wasikowa, Urszula Zaleska-Dorobisz, Anna Golenko

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The aim of the study was to analyze data related to chronic autoimmune thyroid disease at diagnosis and at follow-up of children and adolescents in Lower Silesia in the years 1999-2004. Age, gender, incidence of thyroid disease in the family, clinical presentation, hormonal findings, levels of thyroid antibodies, results of ultrasonography, and fine needle aspiration biopsy (FNAB) were recorded …

The concurrence of Microalbuminuria and Retinopathy with Cardiovascular Risk Factors; reliable predictors of Asymptomatic Coronary Artery Disease in Type 2 Diabetes

George Ioannidis, Melpomeni Peppa, Phivi Rontogianni, Michael Callifronas, Christos Papadimitriou, Georgia Chrysanthopoulou, Lambros Anthopoulos, Matina Kesse, Nicolaos Thalassinos

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People with diabetes mellitus type 2 (DM2) have a greater risk for premature morbidity and mortality due to cardiovascular disease than the general population: cardiovascular disease accounts for 75% of deaths in this population group. We examined whether or not the association of clinical cardiovascular risk factors (RF) with both …