Comparison of the American Thyroid Association with the Endocrine Society practice guidelines for the screening and treatment of hypothyroidism during pregnancy

Atieh Amouzegar, Ladan Mehran, Farzaneh Sarvghadi, Hossein Delshad,  Fereidoun Azizi, John H. Lazarus

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Thyroid hormones play a critical role in neurodevelopment both during pregnancy and postnatally. The fetal thyroid produces sufficient amounts of thyroid hormones just after 16 weeks of pregnancy prior to which the fetus is totally dependent on maternal FT4 for its physical and neural development …

Hormonal causes of recurrent pregnancy loss (RPL)

Nicola Pluchino, Panagiotis Drakopoulos, Jean Marie Wenger, Patrick Petignat, Isabelle Streuli, Andrea Riccardo Genazzani

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Endocrine disorders play a major role in approximately 8% to 12% of recurrent pregnancy loss (RPL). Indeed, the local hormonal milieu is crucial in both embryo attachment and early pregnancy. Endocrine abnormalities, including thyroid disorders, luteal phase defects, polycystic ovary syndrome …

Subclinical Cushing’s syndrome: Current concepts and trends

George N. Zografos, Iraklis Perysinakis, Evangeline Vassilatou

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Clinically inapparent adrenal masses which are incidentally detected have become a common problem in everyday practice. Approximately 5-20% of adrenal incidentalomas present subclinical cortisol hypersecretion which is characterized by subtle alterations of the hypothalamic-pituitary-adrenal …

Serum interleukin-22 (IL-22) is increased in the early stage of Hashimoto’s thyroiditis compared to non-autoimmune thyroid disease and healthy controls

Rosaria Maddalena Ruggeri, Paola Minciullo, Salvatore Saitta, Salvatore Giovinazzo, Rosaria Certo, Alfredo Campennì, Francesco Trimarchi, Sebastiano Gangemi, Salvatore Benvenga

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OBJECTIVE: Hashimoto’s thyroiditis (HT) is considered to be a Th1-related autoimmune disease (AID). Recent studies revealed that Th17 lymphocytes (producing mostly IL-17, IL-21 and IL-22) play a major role in numerous AIDs commonly thought to be Th1 diseases. More recently, another subset of Th cells …

Association of genetic variants of vit D binding protein (DBP/GC) and of the enzyme catalyzing its 25-hydroxylation (DCYP2R1) and serum vit D in postmenopausal women

Wen Xu, Jing Sun, Wenbo Wang, Xiran Wang, Yan Jiang, Wei Huang, Xin Zheng, Qiuping Wang, Zhiwei Ning, Yu Pei, Min Nie, Mei Li, Ou Wang, Xiaoping Xing, Wei Yu, Qiang Lin, Ling Xu, Weibo Xia

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OBJECTIVE: To determine if GC (group-specific component globulin) and CYP2R1 genetic variants have an association with serum 25-OHD3 levels, BMD or bone turnover markers in a population of Chinese postmenopausal women …

Usefulness of phalangeal quantitative ultrasound in identifying reduced bone mineral status and increased fracture risk in adolescents with Turner syndrome

Francesco Vierucci, Marta Del Pistoia, Paola Erba, Giovanni Federico, Giuseppe Saggese

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OBJECTIVE. Bone health is a major concern in patients with Turner syndrome (TS). There are few studies assessing bone mineral status in TS adolescents and none have reported a clear relationship with the risk of fracture. We assessed bone mineral status at three different skeletal sites by two different …

Autoimmune thyroiditis in children and adolescents with type 1 diabetes mellitus is associated with elevated IgG4 but not with low vitamin D

Korcan Demir, Mehmet Keskin, Yιlmaz Kör, Murat Karaoğlan, Özlem Gümüştekin Bülbül

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OBJECTIVE: To assess levels of vitamin D and of immunoglobulin G subclasses in children and adolescents with type 1 Diabetes Mellitus with or without autoimmune thyroiditis. DESIGN: Among 213 patients with type 1 diabetes, the cases with thyroid-specific autoantibodies …

Increased placental growth factor (PlGF) concentrations in children and adolescents with obesity and the metabolic syndrome

Panagiota Pervanidou, Giorgos Chouliaras, Athanassios Akalestos, Despoina Bastaki, Filia Apostolakou, Ioannis Papassotiriou, George P. Chrousos

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OBJECTIVE: Childhood obesity and the Metabolic Syndrome (MetS) are associated with an increased risk for early onset endothelial dysfunction and atherosclerosis. Placental growth factor (PlGF), a member of the vascular endothelial growth factor family, plays an important role in atherosclerosis by stimulating angiogenesis …

No increase in renal iodine excretion during pregnancy: a telling comparison between pregnant women and their spouses

Eftychia Koukkou, Stavros Kravaritis, Irene Mamali, Georgios G. Markantes, Marina Michalaki, Georgios G. Adonakis, Neoklis A. Georgopoulos, Kostas B. Markou

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OBJECTIVE: Adequate dietary iodine intake is necessary for normal thyroid gland function at all times, and most particularly during pregnancy. Increased iodine loss is cited, among other factors, as responsible for the increased iodine demand in this period. Our aim was to compare renal iodine excretion between …

Increased prevalence of growth hormone deficiency in patients with vernal keratoconjuntivitis; An interesting new association

Stefano Stagi, Neri Pucci, Laura di Grande, Cinzia de Libero, Roberto Caputo, Stefano Pantano, Salvatore Seminara, Maurizio de Martino, Elio Novembre

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INTRODUCTION: Vernal keratoconjunctivitis (VKC) is a chronic conjunctivitis that mainly affects children living in temperate areas. The notable difference between genders and VKC’s resolution with puberty have persistently suggested a role of hormonal factors in VKC development. …

The associations of polymorphisms of TSH receptor and thyroid hormone receptor genes with L-thyroxine treatment in hypothyroid patients

Sayer I. Al-Azzam, Karem H. Alzoubi, Omar Khabour, Ola Al-Azzeh

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OBJECTIVE: To investigate the possible association between response to levothyroxine (L-T4) doses in hypothyroid patients and variation in thyroid stimulating hormone receptor (TSHR) gene and thyroid hormone receptor (THRα) gene …

Effects of synbiotic food consumption on glycemic status and serum hs-CRP in pregnant women: a randomized controlled clinical trial

Mohsen Taghizadeh, Zatolla Asemi

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OBJECTIVE: The aim of this study was to determine the effects of synbiotic food consumption on glycemic status and serum high sensitivity C-reactive protein (hs-CRP) levels of Iranian pregnant women. DESIGN: This randomized placebo-controlled clinical trial was performed among 52 pregnant women …

L-carnitine treatment in a seriously ill cancer patient with severe hyperthyroidism

Rene Chee, Ravin Agah, Roberto Vita, Salvatore Benvenga

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OBJECTIVE: To report a case of vaccine-induced Graves’ disease successfully managed with L-carnitine and propranolol and without antithyroid drugs (ATDs). ATDs sometimes need to be used at low doses or can be contraindicated/refused. One of the ancillary compounds available is L-carnitine …

A novel mutation in the NR0B1 (DAX1) gene in a large family with two boys affected by congenital adrenal hypoplasia

Aleksandra Rojek, Maciej Flader, Elzbieta Malecka, Marek Niedziela

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OBJECTIVE: X-linked Adrenal Hypoplasia Congenita (AHC) is a rare disorder caused by mutations in NR0B1 (DAX1) gene. DESIGN: We present two boys (cousins) with AHC who came to our attention at the age of 10 days and 15 days, respectively, in a life-threatening state …

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 …

Insights into the coexistence of two mutations in the same LHCGR gene locus causing severe Leydig cell hypoplasia

Anastasia P. Athanasoulia, Günter K. Stalla, Matthias K. Auer

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BACKGROUND: Leydig cell hypoplasia is a rare autosomal recessive condition that interferes with the normal development of male external genitalia in 46,XY individuals. It is mediated by mutations in the lutropin/choriogonadotropin receptor gene, resulting in the impairment of either the binding of hormone or signal transduction …

Cognitive function in Hashimoto’s thyroiditis under levothyroxine treatment

Vaitsa Giannouli, Konstantinos A. Toulis, Nikolaos Syrmos

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ΟBJECTIVE: Although overt hypothyroidism has been documented as exerting detrimental effects on cognition and behavior, it remains controversial whether subclinical hypothyroidism or euthyroid patients with Hashimoto’s thyroiditis (HT) under levothyroxine (LT4) treatment …