Hormones in sports: growth hormone abuse

Evanthia Diamanti-Kandarakis, Dimitrios Tsilakis, Stefanos Lazarides, Helen Kandarakis, Angeliki Bergele

“Altius, citius, fortius”: higher, faster, stronger. These words from ancient times still today express the endeavour of athletes to beat records and gain victory. This endeavour has never been easy and becomes harder every day as the records climb higher. Many athletes are thus tempted to use artificial substances that enhance power, stamina and body structure…

The human skin as a hormone target and an endocrine gland

Christos C. Zouboulis

Hormones influence the development and function of human skin which also produces and releases hormones. Recently attention has been focused on identifying and understanding the complex endocrine properties of human skin, such as expression and function of specific hormone receptors, synthesis of hormones from major classes of compounds used by the body for general purposes …

Pegvisomant: a new treatment modality for acromegaly

Niki Karavitaki, John AH Wass

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Acromegaly, a multisystemic disease resulting from excessive growth hormone (GH) and insulin-like growth factor-I (IGF-I) levels in adults, is associated with a two-to-threefold increase in mortality. The available treatment options (surgery, radiotherapy and medical treatment with somatostatin analogues or dopamine agonists) fail to achieve the currently accepted goals of therapy in a substantial number of patients …

Increased leptin levels in preeclampsia: associations with BMI, estrogen and SHBG levels

Acromite Michael, Ziotopoulou Mary, Orlova Christine, Mantzoros Christos

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Leptin is secreted mainly by the white adipose tissue but is also synthesized in several non-adipose tissue organs including the placenta. Serum leptin levels are increased in normal pregnancies and are higher in preeclamptic than normal pregnant women. There is, however, a lack of empirical evidence of an independent association of serum leptin levels and preeclamsia …

Clinical aspects of hyperthyroidism in hospitalised patients in Albania

Feçor Agaçi

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The purpose of this study was to evaluate certain clinical aspects of hyperthyroidism in Albania, which is an iodine deficient country, as it is known that iodine intake may influence the type of thyroid hyperfunction. The files of sixty-six patients with thyrotoxicosis who were hospitalised for their disease were retrospectively analysed. 59.1% of these patients suffered from toxic multinodular goiter …

Langerhans’ cell histiocytosis in an adult patient manifested as recurrent skull lesions and Diabetes Insipidus

Polyzois Makras, Dimitris Papadogias, Chrysoula Samara, Athanasios Zetos, Gregory Kaltsas, George Piaditis, Antony C Chu

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We describe a 57-year old female with the diagnosis of skull and meningeal Langerhans’ cell histiocytosis who was treated with the combination of azathioprine and methotrexate. Although the skull lesions improved considerably on this regimen, the patient developed diabetes insipidus while the anterior pituitary function remained intact…

Treatment of recurrent gastrointestinal haemorrhage in a patient with von Willebrand’s disease with administration of octreotide LAR and propranolol

Napoleon Krikis, Konstantinos Tziomalos, Vasilios Perifanis, Sofia Vakalopoulou, Asterios Karagiannis, Vasilia Garypidou, Fedon Harsoulis

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We report a patient with von Willebrand’ s disease who had had recurrent and life-threatening bleeding from the gastrointestinal tract. Despite extensive investigation, no apparent cause of haemorrhage was identified. He was successfully treated with combined administration of octreotide LAR (long-acting release) and propranolol. This is the first report on the successful use of octreotide LAR in a patient with von Willebrand’ s disease…

Primary Adrenal lymphoma presented with adrenal insufficiency

Evanthia Diamanti-Kandarakis, Pantelis Chatzismalis, Frangiskos Economou, Stefanos Lazarides, Athena Androulaki, Grigorios Kouraklis

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We report a 71-year old man who presented with symptoms of adrenal insufficiency and large bilateral adrenal masses. Computed tomography guided FNA biopsy was not diagnostic. However, because of the rapid growth of the masses, the negative workup for primary malignancy and the strong clinical suspicion of a lymphoma, an open biopsy was performed and a B-cell lymphoma was disclosed…