Features of the Clinical Course of Adrenal Incidentalomas
Journal Title: Міжнародний ендокринологічний журнал - Year 2014, Vol 2, Issue 58
Abstract
The objective of the study was to examine the clinical features of adrenal incidentalomas. 98 clinical observations of patients with adrenal incidentalomas receiving in- and out-patient treatment in the clinic of Republican Specialized Scientific and Practical Medical Centre of Endocrinology of Ministry of Healthcare of Republic of Uzbekistan were analyzed. Of them, 51 % — males, 49 % — females. General clinical observation included: thorough gaining of complaints; anamnesis morbi and vitae; assessment of somatic and endocrine statuses; clinical examination with measurement of blood pressure and body mass index; urinalysis; biochemical blood analysis. In addition, all patients underwent complete blood count with determination of blood potassium, sodium, chlorine, lipid profile, fasting blood glucose and oral glucose tolerance test, creatinine and urea; hormonal blood tests, including studies of plasma aldosterone and plasma renin activity in a horizontal position, adrenocorticotropic hormone, blood cortisol, as well as the daily excretion of catecholamines with urine. For topical diagnosis we used ultrasound, CT of adrenals. It was found that adrenal incidentalomas were detected in 37.8 % as a result of searching for the reason of arterial hypertension, in 23.5 % — of obesity and hypothalamus dysfunction, in 14.2 % — in abdominal pathology, in 12.2 % — of non-specific complaints, in 8.1 % — in exclusion of adrenal diseases, and in 4 % — in clinical supervision. Clinically they are characterized with nonspecific features with predominance of arterial hypertension (76.5 %), which is associated with adrenal pathology only 18.4 % of cases. Analysis of metabolic disorders revealed clinically significant changes as well. Of 98 examined patients, 70 % had metabolic disorders.
Authors and Affiliations
G. A. Alimukhamedova
Keywords
Related Articles
- EP ID EP226836
- DOI -
- Views 82
- Downloads 0
The role of the immune system in mechanism of metformin therapeutic effect in patients with type 2 diabetes
Background. Metformin is one of the most prescribed hypoglycemic drugs of the first line of treatment for patients with type 2 diabetes (T2D). However, the mechanism of its therapeutic effect has not been sufficiently st...
Awareness of General Practitioners Regarding Type 2 Diabetes Mellitus Risk Factors
In this article there are presented the results of an anonymous survey of general practitioners regarding their awareness of risk factors in type 2 diabetes mellitus. The data obtained justify the need to give more atten...
Hormonal and Biochemical Parameters in Pregnant Women with Fetal Distress
Antenatal fetal death is an actual clinical problem. It consists 77.9 % among stillborn children. Assuming that all surveyed pregnant women had a history of antenatal fetal death, it was held hormonal examination of plac...
Duration of Hospital Treatment of Patients with Diabetes Mellitus Type 2 and Diabetic Foot Syndrome Depending on Compensation of Carbohydrate Metabolism
Aim of the Study. To investigate the effect of type 2 diabetes mellitus (DM) compensation on the duration of inpatient treatment of patients with neuroischemic diabetic foot syndrome (DFS). Materials and Methods of the S...
Impact of Nonselective Laryngeal Reinnervation on Main Voice Characteristics
The possibility and long-term results of non-selective surgical reinnervation by primary and delayed anastomosis of recurrent laryngeal nerve (RLN) with the one of the peripheral neck nerve (proximal RLN part, main part...