Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
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Department of Biotechnology and Translational Medicine, University of Milan, Milan, Italy
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Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
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, respectively, and often leads to treatment discontinuation or withdrawal with a possible reduction in efficacy and in progression-free survival (PFS) ( 14 , 15 ). In 2018, for the first time, we demonstrated a correlation between fatigue and primary adrenal
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Introduction Variable occurrence of autoimmune thyroid disease (ATD) in patients with primary adrenal insufficiency (PAI) has been reported: 24% of 148 patients with Addison's disease in Poland [ 1 ], 47% of 664 patients in Norway [ 2 ], and
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glucocorticoid treatment is the suppression of the hypothalamic-pituitary-adrenal (HPA) axis with impairment of endogenous cortisol production, implicating symptoms of adrenocortical insufficiency, especially in the period after cessation of therapy with possible
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, FSH, and testosterone and urinary free cortisol levels were all within normal limits. Urinary dopamine, epinephrine and norepinephrine levels were normal. Abdominal and pelvic CT scan revealed a lobular mass 2 × 2.4 cm superior to the left adrenal
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Graduate Institute of Medical Genomics and Proteomics, National Taiwan University College of Medicine, Taipei, Taiwan
Department of Medical Genetics, National Taiwan University Hospital, Taipei, Taiwan
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Department of Internal Medicine, National Taiwan University College of Medicine, Taipei, Taiwan
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Graduate Institute of Clinical Medicine, National Taiwan University College of Medicine, Taipei, Taiwan
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Department of Internal Medicine, National Taiwan University College of Medicine, Taipei, Taiwan
Center of Anti-Aging and Health Consultation, National Taiwan University Hospital, Taipei, Taiwan
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Introduction Autoimmune polyendocrine syndrome (APS) was initially described in France by Claude and Gourgerot in 1908 ( 1 ). It is characterized by immunopathological involvement of at least two endocrine organs, such as the adrenal gland
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endogenous hypercortisolism also predisposes to thyrolytic processes not traditionally related to thyroid autoimmunity, especially while the hypothalamus-pituitary-adrenal axis is still suppressed. Introduction Exacerbation and increased prevalence of
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transmitted in an autosomal dominant pattern. MEN 2B is characterized by the presence of MTC, adrenal pheochromocytoma, mucosal neuromatosis, and a marfanoid habitus. About 95% of patients with MEN 2B carry a germline M918T mutation in the RET proto
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( 2 , 3 , 5 ). Other than to the soft tissues of the neck region, MTC spreads first to the liver (45%) and bone (45%) and less commonly to lung (33%), brain (1–5%) or skin (few cases reported) ( 6 ). Metastases to adrenal glands, pleura, heart, ovary
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individuals with hyperthyrotropinemia unrelated to thyroid insufficiency [ 5 ]. Some conditions that can elevate serum TSH can be recognized easily (untreated adrenal insufficiency, chronic renal failure, antidopaminergic drugs, recovery from severe acute
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associated with sarcomas and cancers of the breast, brain and adrenal glands, and with leukaemias. Similarly, the RET gene is associated with lesions of both neural crest origin (neuroma and phaeochromocytoma) and of endodermal origin (medullary carcinoma