Isolated idiopathic central hypothyroidism in an adult, possibly caused by Thyrotropin Releasing Hormone (TRH) deficiency

Alma Prieto-Tenreiro, Patricia Diaz-Guardiola

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Central Hypothyroidism (Central H) is mainly due to acquired lesions, either in the pituitary, the hypothalamus or both, and in such cases it is usually associated with deficient secretion of other pituitary hormones. Isolated central hypothyroidism (I Central H) remains a very rare disease. By the use of the serum Thyroid Stimulating Hormone …

Maternal serum placental growth hormone, insulin-like growth factors and their binding proteins at 20 weeks’ gestation in pregnancies complicated by gestational diabetes mellitus

Shutan Liao, Mark H. Vickers, Rennae S. Taylor, Mhoyra Fraser, Lesley M.E. McCowan, Philip N. Baker, Jo K. Perry

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OBJECTIVE: To investigate whether maternal serum concentrations of placental growth hormone (GH-V), insulin-like growth factor (IGF) 1 and 2, and IGF binding proteins (IGFBP) 1 and 3 were altered in pregnancies complicated by gestational diabetes mellitus (GDM). METHOD: In a nested case-control study, GDM cases (n=28) and matched controls (n=28) were selected from the Screening for Pregnancy Endpoints (SCOPE) biobank in Auckland, New Zealand …

Callo: The first known case of ambiguous genitalia to be surgically repaired in the history of Medicine, described by Diodorus Siculus

Georgios K. Markantes, Efthimios Deligeoroglou, Anastasia K. Armeni, Vasiliki Vasileiou, Christina Damoulari, Angelina Mandrapilia, Fotini Kosmopoulou, Varvara Keramisanou, Danai Georgakopoulou, George Creatsas, Neoklis A. Georgopoulos

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Diodorus Siculus (Diodoros Sikeliotes) was a Greek historian and writer who lived in the 1st century B.C. He is renowned for his universal history, “Bibliotheca Historica” (Historical Library), in which cases of sexual reassignment occurring around his time were included …

Tadeus Reichstein, co-winner of the Nobel Prize for Physiology or Medicine: On the occasion of the 110th anniversary of his birth in Poland

Andrzej Wincewicz, Mariola Sulkowska, Stanislaw Sulkowski

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Tadeus Reichstein (1897-1996) was the first scientist born in Poland to receive the Nobel Prize in Medicine or Physiology (1950) for the “discovery of hormones of the adrenal cortex, their structure and biological effects”, as stated by the Nobel Prize Committee. His family being deeply devoted to Polish cultural and historical heritage

Genetic analysis does not confirm non-classical congenital adrenal hyperplasia in more than a third of the women followed with this diagnosis

Valeria Alcantara-Aragon, Silvia Martinez-Couselo, Diana Tundidor-Rengel, Susan M. Webb, Gemma Carreras, Juan J. Espinos, Ana Chico, Francisco Blanco-Vaca, Rosa Corcoy

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Non-classical congenital adrenal hyperplasia (NCCAH) due to 21-hydroxylase deficiency is one of the most frequent autosomal recessive diseases, with an estimated prevalence of 1 in 1000. It may manifest at different stages in life. In late childhood, it may present with advanced skeletal maturation …

Symptomatic pheochromocytoma with normal urinary catecholamine metabolites

Dimitra Zianni, Marinella Tzanela, Serafim Klimopoulos, N.C. Thalassinos

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A 61-year old female presented with paroxysmal hypertension and a 4.5cm left adrenal mass on CT scan. Repeated measurements of 24-hour urinary fractionated metanephrines, total catecholamines and vanillylmandelic acid (VMA) were within normal range. A further scintigraphic study …

Brunner’s missing “Aha experience” delayed progress in diabetes research by 200 years

Fritz S. Keck, Leonidas H. Duntas

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In 1889, the pancreatectomy performed on a dog by Joseph von Mehring and Oskar Minkowski led to the discovery of the pancreatic origin of diabetes disease. Already 200 years before, Johann Conrad Brunner had successfully performed eight pancreatectomies on dogs and had precisely described the symptoms of polyphagia, polyuria, and polydipsia…

Diabetes and the “Natural Faculties” in the Galenic treatises

Niki Papavramidou, Helen Christopoulou-Aletra

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The term diabetes first appears in a text by Aretaeus to describe a disease of the kidneys. Galen is likely to have borrowed this term from Aretaeus also to describe the same disorder, though in a manner somewhat uncharacteristic of his writings. Taken as a whole, only a few mentions may be found in the Galenic writings …

The philosopher Socrates had exophthalmos (a term coined by Plato) and probably Graves’ disease

Peter D. Papapetrou

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According to a previously published theory, Socrates was afflicted with temporal lobe epilepsy since his childhood. Plato, Xenophon, and Aristoxenus described Socrates as having exophthalmos, probably diplopia, and some symptoms compatible with hyperthyroidism …

Follicular carcinoma of the thyroid with aggressive metastatic behavior in a pregnant woman: Report of a case and review of the literature

Luciana Parlea, Lisa Fahim, David Munoz, Amir Hanna, Jennifer Anderson, Michael Cusimano, Kalman Kovacs, Geoffrey Gardiner

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Distant metastases as initial presentation of follicular carcinoma of the thyroid is rare, especially in young patients. We report the clinical and pathological features of a 33-year old pregnant patient with follicular carcinoma of the thyroid who presented with widespread bone and lung metastases at the time of diagnosis…

Nobel prize winner Christian de Duve. From insulin to lysosomes

Jean-Pierre Tricot

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A brief biographical note about the most honoured living scientist in Belgium, the physician, biochemist and Nobel Prize winner Christian de Duve, his research in the field of diabetes mellitus and how his revelation led to the discovery of lysosomes and to the prestigious Nobel Prize of 1974 in Physiology and Medicine is herein presented…

Adipsic diabetes insipidus and venous thromboembolism (VTE): recommendations for addressing its hypercoagulability

Dragana Miljic, Predrag Miljic, Mirjana Doknic, Sandra Pekic, Marko Stojanovic, Milan Petakov, Vera Popovic

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Adipsic diabetes insipidus (ADI) is a rare disorder. It can occur after transcranial surgery for craniopharyngeoma, suprasellar pituitary adenoma and anterior communicating artery aneurysm but also with head injury, toluene exposure and developmental disorders. It is often associated with significant hypothalamic dysfunction …

Autonomously functioning thyroid nodule treated with radioactive iodine and later diagnosed as papillary thyroid cancer

Mehmet Uludag, Gurkan Yetkin, Bulent Citgez, Adnan Isgor, Tulay Basak

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The malignancy risk is low in hot thyroid nodules verified by scintigraphy. We present a rare case of papillary carcinoma, initially treated as an autonomous hot nodule. Case report. A 36-year old male patient with a hot thyroid nodule and subclinical hyperthyroidism was treated with 10mCi 131I.

The role of T-lymphocyte subsets and interleukin-5 blood levels among Indian subjects with autoimmune thyroid disease

Sripathy Gopalakrishnan, Sourav Sen, Jawahar Singh Adhikari, Pradeep Kumar Chugh, Tarun Sekhri, Sankar Rajan

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OBJECTIVE: Autoimmune Thyroid Disease (AITD) results from an interaction of exogenous and endogenous factors in a genetically predisposed individual. AITD is being increasingly reported among the Indian population. Lymphocyte subsets and levels of interleukin-5 (IL- 5) were studied in the peripheral blood of patients with AITD …

Correlation of serum anti-Müllerian hormone levels with positive in vitro fertilization outcome using a short agonist protocol

Spyridon D. Mantzavinos, Nikolaos P. Vlahos, Demetrios Rizos, Demetrios Botsis, Theodoros N. Sergentanis, Efthimios Deligeoroglou, Themistoklis Mantzavinos

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OBJECTIVE: We examined the predictive ability of anti-Müllerian hormone (AMH) for clinical pregnancy in women who underwent in vitro fertilization (IVF) cycles in a short agonist protocol. DESIGN: This is a retrospective cohort study of 222 women undergoing their first IVF attempt between June 2010 and March 2016. Multivariate logistic regression …

The antiepileptic drug carbamazepine can cause adrenal insufficiency in patients under hormone replacement therapy for congenital adrenal hyperplasia

Damiano Gullo, Rossella Gelsomino, Ilenia Marturano, Domenico Restivo, Maria Luisa Arpi, Daniela Leonardi, Giuseppina Parrinello, Sebastiano Squatrito

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Classic congenital adrenal hyperplasia due to 21-hydroxylase deficiency (21-OH CAH) is treated with both glucocorticoids (to suppress pituitary ACTH and adrenal androgen production) and mineralocorticoids (to reduce angiotensin II concentrations) …

Thyroid volume, selenium levels and nutritional habits in a rural region in Albania

John Doupis, Charalambos Stavrianos, Katerina Saltiki, Emily Mantzou, Antonios Mastrokostopoulos, George Philippou, Maria Alevizaki

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Albania is an in-transition country in the Balkan area and among those with the lowest per capita income in Europe. The Health System of Albania, as the Albanian society itself, is now taking its first steps in adopting the Western financial model. Globalization in modern Western society, even at the level of dietary practices …

Over-supplementation of vitamin D in two patients with primary hyperparathyroidism

Claudia Battista, Raffaella Viti, Salvatore Minisola, Iacopo Chiodini, Vincenzo Frusciante, Alfredo Scillitani, Vincenzo Carnevale

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OBJECTIVE: To describe the biochemical effects of an over-supplementation of vitamin D3 in two patients with primary hyperparathyroidism (PHPT). DESIGN: Two patients (A and B) with PHPT took erroneously 2,400,000U …

Pasireotide for malignant insulinoma

Amit Tirosh, Salomon M. Stemmer, Evgeny Solomonov, Eldad Elnekave, Wolfgang Saeger, Yelena Ravkin, Kobi Nir, Yeela Talmor, Ilan Shimon

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Malignant insulinoma usually has a poor prognosis, as no efficient medical treatment is available. The somatostatin analogs octreotide and lanreotide have limited ability to control the hypoglycemic events. Pasireotide is a multi-receptor targeted somatostatin-analog with improved affinity for SSTR5. There is to date no reported treatment experience with this drug in such tumors …

Familial partial lipodystrophy type 3: a new mutation on the PPARG gene

Eva Lau, Davide Carvalho, Joana Oliveira, Susana Fernandes, Paula Freitas

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Familial partial lipodystrophy is an autosomal dominant genetic disorder characterized by lipoatrophy of the extremities and gluteal region and lipohypertrophy of the face, neck and/or trunk. It is associated with insulin resistance, hypertriglyceridemia and increased risk of recurrent episodes of pancreatitis …

Cabergoline treatment for recurrent Cushing’s disease during pregnancy

Afif Nakhleh, Leonard Saiegh, Maria Reut, Mohammad Sheikh Ahmad, Irit Wirsansky Pearl, Carmela Shechner

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OBJECTIVE: Cushing`s disease during pregnancy is associated with an increased risk for maternal and fetal complications. In recurrent Cushing`s disease following transsphenoidal surgery, and when re-operation is not feasible, medical treatment is usually considered. Cabergoline was found to be effective in reducing hypercortisolism in Cushing’s disease …

The adrenal glands: a brief historical perspective

Basil Leoutsakos, Agnes Leoutsakos

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There have been numerous references to the existence of the adrenal glands ever since ancient times, with an increasing amount of knowledge being accumulated and recorded from the 16th century on.1 Although it would evidently not be possible to cover the plethora of historical references to these glands, a historical outline is herein undertaken…

Progesterone pretreatment increases the stress response to social isolation in ewes

Aline Freitas-de-Melo, Juan Pablo Damián, Maria José Hötzel, Georgget Banchero, Rodolfo Ungerfeld

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OBJECTIVE: In rodents, progesterone (P4) pretreatment increases anxiety and response to stressors. Social isolation is a stressor that generates physiological and behavioural stress responses in sheep. The aim of the study was to compare the stress response of anoestrous ewes previously treated or not with P4 to the social isolation test. DESIGN: Ten ewes received P4 treatment during 13 d (group P4-W) and another 10 remained untreated as controls (group Con) …

Hypocalcaemia following thyroidectomy unresponsive to oral therapy

Zac C. Etheridge, Christopher Schofield, Peter J.J. Prinsloo, Nigel D.C. Sturrock

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Hypocalcaemia due to hypoparathyroidism following thyroidectomy is a relatively common occurrence. Standard treatment is with oral calcium and vitamin D replacement therapy; lack of response to oral therapy is rare. Herein we describe a case of hypoparathyroidism following thyroidectomy unresponsive to oral therapy …