Supernumerary ectopic parathyroid glands. Persistent hyperparathyroidism due to mediastinal parathyroid adenoma localized by preoperative single photon emission computed tomography and intraoperative gamma probe application

Mehmet Uludag, Adnan Isgor, Gürkan Yetkin, Murat Atay, Abut Kebudi, Ismail Akgun

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Ectopic and/or supernumerary parathyroid glands are a major cause of persistent and recurrent Hyperparathyroidism (HPT). For this reason, it is widely accepted that preoperative localization should be performed to improve the surgical results in patients with persistent or recurrent HPT …

Levonorgestrel-releasing intrauterine system vs. endometrial thermal ablation for menorrhagia

Theodoros D. Theodoridis, Leonidas Zepiridis, Menelaos Zafrakas, Grigoris Grimbizis, Antonios Tantsis, Dimitra Kyrou, John N. Bontis

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OBJECTIVE: To evaluate the efficacy of a Levonorgestrel-releasing Intrauterine System (LNG-IUS) in controlling menorrhagia in comparison with endometrial thermal rollerball ablation. DESIGN: Seventy-nine consecutive patients with menorrhagia underwent either LNG-IUS insertion (n=42) or hysteroscopical endometrial thermal rollerball ablation (n=37) in a prospective, observational, comparative study …

Effect of zinc supplementation on insulin resistance and components of the metabolic syndrome in prepubertal obese children

Mahin Hashemipour, Roya Kelishadi, Javad Shapouri, Nizal Sarrafzadegan, Masoud Amini, Naser Tavakoli, Ahmad Movahedian-Attar, Parisa Mirmoghtadaee, Parinaz Poursafa

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OBJECTIVE: Zinc, an essential trace element and a component of many enzymes, is involved in the synthesis, storage and release of insulin. The aim of the present study was to assess the effect of zinc supplementation on insulin resistance and components of the metabolic syndrome in prepubertal obese children. DESIGN: This triple-masked …

Phaeochromocytoma crisis presenting with profound hypoglycaemia and subsequent hypertension

Sarah Frankton, Suhail Baithun, Ehab Husain, Katherine Davis, Ashley B. Grossman

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A patient was presented with four days of vomiting, abdominal pain and sweating. At presentation the Capillary Blood Glucose (CBG) was 1.7 mmol/L, the Blood Pressure (BP) was 182/102 mmHg, and the pulse 100 bpm. On examination, he was sweaty, pale and cold. The initial differential diagnosis was hypoglycaemia secondary to insulin abuse, hypoadrenalism or insulinoma …

Predictors of amputation in diabetics with foot ulcer: Single center experience in a large Turkish cohort

Sena Yesil, Baris Akinci, Serkan Yener, Firat Bayraktar, Ozalp Karabay, Hasan Havitcioglu, Nur Yapar, Atay Atabey5 Yasin Kucukyavas, Abdurrahman Comlekci, Sevinc Eraslan

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OBJECTIVE: Prediction of diabetic foot ulcer outcome may be helpful for clinicians in optimizing and individualizing management strategy. The aim of the present study was to examine the possibility of predicting the outcome of patients with diabetic foot ulcers by using easily assessed clinical and laboratory parameters at baseline …

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 …

Effect of Temozolomide in a patient with recurring oncocytic gonadotrophic pituitary adenoma

Luis V. Syro, Bernd W. Scheithauer, Leon D. Ortiz, Camilo E. Fadul, Eva Horvath, Fabio Rotondo, Kalman Kovacs

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The patient was a 70-year-old man with a recurrent pituitary tumor. Three surgeries were performed but the tumor recurred. Based on histologic, immunohistochemical and ultrastructural studies, the diagnosis of oncocytic gonadotrophic pituitary adenoma was made. The tumor was a macroadenoma partly immunopositive for LH …