Adult height following a combined treatment of ketoconazole – cyproterone acetate – leuprolide depot in a boy with atypical McCune-Albright syndrome

Maria Francesca Messina, Tommaso Aversa, Luisa de Sanctis, Malgorzata Wasniewska, Mariella Valenzise, Giovanni Battista Pajno, Filippo De Luca, Fortunato Lombardo

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BACKGROUND: This study was carried out because of the rarity of peripheral precocious puberty (PPP) in boys with McCune-Albright syndrome (MAS) and the lack of data on adult height of treated MAS males, treatment for this disorder being not as yet standardized …

Olfactory dysfunction in children with Kallmann syndrome: relation of smell tests with brain magnetic resonance imaging

Ahmet Anık, Gönül Çatlı, Ayhan Abacı, Handan Güleryüz, Çağdaş Güdücü, Adile Öniz, Şule Can, Bumin Dündar, Ece Böber

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OBJECTIVE: Kallmann syndrome (KS) is a genetic disorder with the distinctive features of hyposmia or anosmia and hypogonadotropic hypogonadism. Though hyposmia/anosmia can be evaluated by both objective and subjective smell tests, there is no study comparing these two methods in KS …

Prevalence of overweight and obesity in preschool children in Thessaloniki, Greece

Maria Hassapidou, Efstratia Daskalou, Fotini Tsofliou, Konstantinos Tziomalos, Anastasia Paschaleri, Ioannis Pagkalos, Themistoklis Tzotzas

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OBJECTIVE: Data on obesity in preschoolers are scarce in Greece, a country particularly affected by the obesity epidemic. The present study aimed to assess overweight and obesity prevalence of preschoolers in Thessaloniki, Greece, by using three different standards for defining childhood overweight and obesity …

Identification of an AVP-NPII mutation within the AVP moiety in a family with neurohypophyseal diabetes insipidus: review of the literature

Costas Koufaris, Angelos Alexandrou, Carolina Sismani, Nicos Skordis

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Familial neurohypophyseal diabetes insipidus (FNDI) is a disorder characterized by excess excretion of diluted urine (polyuria) and increased uptake of fluids (polydipsia). The disorder is caused by mutations affecting the AVP-NPII gene, resulting in absent or deficient secretion of the antidiuretic hormone arginine vasopressin …

Long-term growth hormone treatment in a boy with 45,X/46,X,idic(Yp) mixed gonadal dysgenesis: comparison with growth pattern of an untreated patient

Silvano Bertelloni, Eleonora Dati, Angelo Valetto, Veronica Bertini, Alfredo Danti, Giampiero I. Baroncelli

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BACKGROUND: Mixed gonadal dysgenesis (MGD) is a rare disorder. Short stature is a well known feature of this condition. Although growth hormone (GH) treatment has been suggested to treat growth impairment, conflicting data surround this issue …

Mitotane and Carney Complex: ten years follow-up of a low-dose mitotane regimen inducing a sustained correction of hypercortisolism

Michela Rosaria Campo, Olga Lamacchia, Anna Farese, Antonella Conserva, Giuseppe Picca, Gianpaolo Grilli, Mauro Cignarelli

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OBJECTIVE: Primary pigmented nodular adrenocortical disease (PPNAD), an uncommon cause of Cushing’s syndrome, is frequently associated with a wider clinical spectrum, the Carney complex (CC), a multiple endocrine neoplasia syndrome …

Internalizing and externalizing problems in obese children and adolescents: associations with daily salivary cortisol concentrations

Panagiota Pervanidou, Despoina Bastaki, Giorgos Chouliaras, Katerina Papanikolaou, Christina Kanaka-Gantenbein, George Chrousos

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OBJECTIVE: Pediatric obesity commonly co-exists with emotional and behavioral disorders, while disturbed cortisol concentrations have been reported in both obese and chronically stressed individuals with anxiety and/or depression. We investigated the prevalence of internalizing and externalizing problems …

McCune Albright syndrome and bilateral adrenal hyperplasia: the GNAS mutation may only be present in adrenal tissue

Anna Angelousi, Filip Fencl, Fabio R. Faucz, Jana Malikova, Zdenek Sumnik, Jan Lebl, Constantine A. Stratakis

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OBJECTIVE: Corticotropin (ACTH)-independent hypercortisolism due to bilateral adrenocortical hyperplasia (BAH) in infancy is an extremely rare condition that is often caused by McCune Albright syndrome (MAS). MAS is caused by an activating mutation of the GNAS gene which leads to increased cyclic (c) adenosine monophosphate (AMP) signaling …

Graves’ disease after treatment with Alemtuzumab for multiple sclerosis

Elena Tsourdi, Matthias Gruber, Martina Rauner, Judith Blankenburg, Tjalf Ziemssen, Lorenz C. Hofbauer

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CONTEXT: Alemtuzumab, a humanized monoclonal antibody against CD52, is effective in the treatment of early relapsing-remitting multiple sclerosis (MS). Common adverse effects include an acute-phase reaction, infections and autoimmune diseases, including thyroid disorders …

Reversal of impaired counterregulatory cortisol response following diazoxide treatment in a patient with non insulinoma pancreatogenous hypoglycemia syndrome: Case report and overview of pathogenetic mechanisms

Stelios Fountoulakis, Dimosthenis Malliopoulos, Labrini Papanastasiou, Theodora Pappa, George Karydas, George Piaditis

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OBJECTIVE: Non-insulinoma pancreatogenous hypoglycemia syndrome (NIPHS) is one of the rare causes of endogenous hyperinsulinism. Its diagnosis is challenging and may require selective intraarterial calcium stimulation and concomitant hepatic vein sampling (SACVS). Impaired counterregulatory hormones’ production in response to hypoglycemia …

Impact and duration effect of telemonitoring on ΗbA1c, BMI and cost in insulin-treated Diabetes Mellitus patients with inadequate glycemic control: A randomized controlled study

Stelios Fountoulakis, Labrini Papanastasiou, Alexandros Gryparis, Athina Markou, George Piaditis

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OBJECTIVE: To monitor and control the blood glucose levels in inefficiently insulin-treated patients with type 1 and 2 diabetes mellitus (DM) using a telemonitoring system and determine whether the improvement of HbA1c has a lasting effect following its discontinuation …

Papillary thyroid cancer in a struma ovarii: a report of a rare case

Eleonora Monti, Lorenzo Mortara, Simonetta Zupo, Mariella Dono, Francesco Minuto, Mauro Truini, Mehrdad Naseri, Massimo Giusti

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After removal of an ovarian mass in a 43-year-old woman, a struma ovarii was diagnosed. Within this teratoma, a papillary thyroid cancer was found. The tumor was negative for BRAF, NRAS, KRAS, PIK3CA and c-KIT mutations on molecular analysis …

Thyroid hemiagenesis, Graves’ disease and differentiated thyroid cancer: a very rare association: case report and review of literature

Alfredo Campennì, Salvatore Giovinazzo, Lorenzo Curtò, Ernesto Giordano, Maria Trovato, Rosaria M. Ruggeri, Sergio Baldari

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OBJECTIVE: Thyroid hemiagenesis is a rare congenital disorder characterized by the absence of a lobe and/or of isthmus. Studies on the association between thyroid hemiagenesis, Graves’ disease and differentiated thyroid cancer are rare …

Precocious presentation of autoimmune polyglandular syndrome type 2 associated with an AIRE mutation

Eduarda Resende, Gemma Novoa Gόmez, Marta Nascimento, Lourdes Loidi, Rebeca Saborido Fiaño, Paloma Cabanas Rodrίguez, Lidia Castro-Feijoo, Jesús Barreiro Conde

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Autoimmune polyglandular syndrome type 2 (type 2 APS), or Schmidt’s syndrome, is defined by the presence of Addison’s disease in combination with type 1 diabetes and/or autoimmune thyroid disease. The estimated prevalence of this syndrome is 1.4-4.5 per 100,000 inhabitants and it is more frequent in middle-aged females …

Ketonemia and ketonuria in gestational diabetes mellitus

Loukia Spanou, Kalliopi Dalakleidi, Konstantia Zarkogianni, Anastasia Papadimitriou, Konstantina Nikita, Vasiliki Vasileiou, Maria Alevizaki, EleniAnastasiou

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BACKGROUND: The use of capillary blood 3-β-hydroxybutyrate (3HB) is a more precise method than urine ketones measurement for the diagnosis of diabetic ketoacidosis. Fasting ketonuria is common during normal pregnancy, while there is evidence that it is increased among pregnant women with Gestational Diabetes Mellitus …

A novel mutation in the NR0B1 gene in a family with monozygotic twin sisters and congenital adrenal hypoplasia affected children

Roberta Minari, Alessandra Vottero, Francesco Tassi, Isabella Viani, Tauro Maria Neri, Maria Elisabeth Street, Lucia Ghizzoni, Sergio Bernasconi, Davide Martorana

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OBJECTIVE:  Congenital adrenal hypoplasia (CAH) is a rare disorder that can be inherited in an X-linked or autosomal recessive pattern. CAH is frequently associated with hypogonadotropic hypogonadism (HHG) with absent or arrested puberty and impaired fertility caused by abnormalities in spermatogenesis …

IGF1 deficiency in newly diagnosed Graves’ disease patients

Sorina Martin, Anca Sirbu, Minodora Betivoiu, Suzana Florea, Carmen Barbu, Simona Fica

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OBJECTIVE: Thyroid hormones influence the GH/IGF1 axis, but previous studies have reported discrepant results regarding serum IGF1 levels in hyperthyroidism. We have therefore investigated, at diagnosis, the relationship between serum IGF1 levels and the main characteristics of Graves’ disease (GD) …

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 …

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 …

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 …

Sheehan’s syndrome in Xinjiang: Clinical characteristics and laboratory evaluation of 97 patients

Guo-li Du, Zhong-hua Liu, Min Chen, Rui Ma, Sheng Jiang, Miriguli Shayiti, Jun Zhu, Aibibai Yusufu

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OBJECTIVE: To evaluate the clinical and hormonal characteristics of patients with Sheehan’s syndrome in Xinjiang, China. METHODS: 97 cases diagnosed as Sheehan’s syndrome in our hospital from 1999 to 2013 were retrospectively reviewed …

A novel mutation of the calcium-sensing receptor gene in a Greek family from Nisyros

Evaggelia Zapanti, Aikaterini Polonifi, Michalis Kokkinos, George Boutzios, Georgia Kassi, Narjes Nasiri Ansari, Eva Kassi, Aris Polyzos

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PURPOSE: Inactivating mutations of the calcium-sensing receptor (CASR) gene cause familial hypocalciuric hypercalcaemia (FHH). Here we report three siblings with FHH caused by a novel mutation in the CASR. METHODS: The case subject was a 60-year-old patient referred because of mild hypercalcaemia …

Reversal of dilated cardiomyopathy after glucagonoma excision

Ozan M. Demir, Stavroula A. Paschou, Huw Christopher Ellis, Michael Fitzpatrick, Andreas S Kalogeropoulos, Andrew Davies, Jeremy Thompson, Simon W. Davies, Julia Grapsa

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The following case presents a new insight into the relationship of glucagonomas with dilated cardiomyopathy which endocrinologists should be aware of. A 64-year old Caucasian man, born and raised in Zimbabwe, was admitted with acute pulmonary edema …

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

Gesthimani Mintziori, Dimitrios G. Goulis

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It is with great interest that we read the detailed and well enunciated comparison between the American Thyroid Association (ATA) and the Endocrine Society (ES) practice guidelines for the screening and treatment of hypothyroidism during pregnancy that was published in the last issue of Hormones …

History of the Cretan cohort of the Seven Countries Study

Christos M. Hatzis, Dimitra Sifaki-Pistolla, Anthony G. Kafatos

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It was a great pleasure to read the manuscript of Hatzis CM et al, 2013, published in the Hormones Journal. This article presented the results for cardiovascular risk factors of the Cretan cohort of the Seven Countries Study (SCS) …