Marina Michalaki, Panagiotis Bountouris, Nikolaos D Roupas, Anastasia Theodoropoulou, Niki Agalianou, Theodoros Alexandrides, Kostas Markou
BACKGROUND: The current trend in the management of low risk differentiated thyroid carcinoma is to follow less aggressive strategies. Objective: To assess the long-term morbidity and mortality outcomes of low-risk papillary thyroid carcinoma (PTC) patients undergoing minimal intervention. DESIGN: We retrospectively analyzed 137 patients with low-risk PTC …
Alexandra Chrisoulidou, Paschalia K. Iliadou, Eleni Doumala, Lemonia Mathiopoulou, Maria Boudina, Maria Alevizaki, Frideriki Patakiouta, Ekaterini Xinou, Kalliopi Pazaitou-Panayiotou
OBJECTIVE: Thyroglossal duct cyst (TGDC) carcinoma is a rare entity and its management is controversial. The aim of this retrospective study was to: (a) identify patients with TGDC carcinoma followed up in our clinic and (b) study specific characteristics of the disease and their association with thyroid carcinoma …
Rosaria Maddalena Ruggeri, Paola Minciullo, Salvatore Saitta, Salvatore Giovinazzo, Rosaria Certo, Alfredo Campennì, Francesco Trimarchi, Sebastiano Gangemi, Salvatore Benvenga
OBJECTIVE: Hashimoto’s thyroiditis (HT) is considered to be a Th1-related autoimmune disease (AID). Recent studies revealed that Th17 lymphocytes (producing mostly IL-17, IL-21 and IL-22) play a major role in numerous AIDs commonly thought to be Th1 diseases. More recently, another subset of Th cells …
Charikleia Christakou, Anastasios Kollias, Christina Piperi, Ilias Katsikis, Dimitrios Panidis, Evanthia Diamanti-Kandarakis
OBJECTIVE: To compare the effects of oral contraceptives (OCPs) and metformin on atherogenic markers, including serum levels of advanced glycated end products (AGEs) and C-reactive protein (CRP), in lean women (Body Mass Index below 25 kg/m2) with polycystic ovary syndrome (PCOS), defined by NIH criteria …
Michael S. Shawky
Continuous development of quick parathyroid hormone assays has resulted in a corresponding expansion of their applications in the practical landscape. In-theatre measurement of the parathyroid hormone has long been recognized as a valuable adjunct in parathyroid surgery, with other applications being incorporated in thyroid surgery and out-of-theatre uses …
Rikke R. Soerensen, Trine H. Johannsen, Niels E. Skakkebaek, Ewa Rajpert-De Meyts
OBJECTIVE: Testicular dysgenesis syndrome (TDS) comprises testicular germ cell cancer, cryptorchidism and some cases of male infertility and hypospadias, which can be linked to impairment of intrauterine gonadal development. Among histological signs of TDS, large Leydig cell (LC) clusters (micronodules) are frequently present. This study aimed to investigate possible associations …
Stergios A. Polyzos, Athanasios D. Anastasilakis, Georgios Arsos
Fine needle biopsy (FNB) is regarded as the method of choice in the management of thyroid nodules because of its simplicity, reliability, accuracy and cost-effectiveness. Indeed, the use of FNB has halved the number of patients undergoing thyroidectomy …
Marià Alemany
The clairvoyant early implication of sex hormones in the characterization of the metabolic syndrome (MS) was detected early, and in accordance with the well-known sex-related main patterns of fat deposition in obesity: gynoid and android …
Kyriakos Aloumanis, Kostantinos Mavroudis
Osteoporosis and depression are two chronic diseases that affect large population groups with great impact on morbidity, mortality and quality of life. An association between osteoporosis and depression has been described in the literature …
Ioannis D. Kostakis, Kyriaki G. Cholidou, Despina Perrea
The distal nephron, which is the site of the micro-regulation of water absorption and ion handling in the kidneys, is under the control of aldosterone. Impairment of the mineralocorticoid signal transduction pathway results in resistance to the action of aldosterone and of mineralocorticoids in general …
Giulia Cogni, Luca Chiovato
Autoimmune diseases are a group of heterogeneous disorders characterized by abnormal lymphocytic activation directed against self-tissues. Hashimoto’s thyroiditis (HT) and Graves’ disease (GD) are two of the most common clinical expressions of organ-specific autoimmunity …
George N. Zografos, Iraklis Perysinakis, Eustathia Kyrodimou, Eva Kassi, Gregory Kaltsas
Although the great majority of incidentalomas are adrenocortical adenomas, a number of them, depending on the size and radiological characteristics of the lesions, will turn out to be carcinomas. These tumors may present as suspicious on initial evaluation and potentially malignant or malignant on histology …
Genovefa D. Kolovou, Vana Kolovou, Demosthenes B. Panagiotakos, Ioannis Vasiliadis, Vassiliki Giannakopoulou, Peggy M. Kostakou, Vassiliki Vartela, Sophie Mavrogeni
OBJECTIVE: In the present study, we evaluated the influence of lipoprotein lipase (LPL) and apolipoprotein (apo) E polymorphisms on lipid concentrations of 178 Greek men of similar age with coronary heart disease (CHD), but varying body mass index (BMI). DESIGN: Patients were divided according to their BMI …
Charalampos Mamoulakis, Spyridon Antypas, Frank Sofras, Atsushi Takenaka, Nikolaos Sofikitis
Normal testicular descent (TD) is known to be a complex, multistage process involving the interplay of different anatomical structures, hormones, environmental and genetic factors, but its purpose and the exact etiology of TD impairment remain largely unknown …
George E. Christodoulakos, Irene V. Lambrinoudaki, Demetrios A. Rizos, Andreas Alexandrou, Apostolos V. Kountouris, George C. Creatsas
OBJECTIVE: The determinants of serum homocysteine in healthy postmenopausal women remain uncertain. The aim of this study was the assessment of the association of endogenous sex steroids with serum homocysteine levels in healthy postmenopausal women not on hormone therapy…
Gemma Sesmilo, Irene Halperin, Manuel Puig-Domingo
Brain injury (BI), both head trauma (TBI) and subarachnoid hemorrage (SAH), has consistently been recognized as an important cause of pituitary dysfunction.1 Different studies have estimated that 20-50% of patients who have suffered BI will develop some degree of hypopituitarism.1-9 The high incidence of BI ranks it as potentially the most important cause of hypothalamic-pituitary dysfunction…
Foteini Economidou, Evangelia Douka, Marinella Tzanela, Serafeim Nanas, Anastasia Kotanidou
The metabolic support of the critically ill patient is a relatively new target of active research and little is as yet known about the effects of critical illness on metabolism. The nonthyroidal illness syndrome, also known as the low T3 syndrome or euthyroid sick syndrome, describes a condition characterized by abnormal thyroid function …
Gerasimos Krassas, Spyridon N. Karras, Nikolaos Pontikides
The most common thyroid diseases during pregnancy are hyper- and hypothyroidism and their variants including isolated hypothyroxinemia (hypo-T4), autoimmune thyroid disease (AITD) and different types of goiter. AITD represents the main cause of hypothyroidism during pregnancy ranging in prevalence between 5 and 20% …
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…
Barbara Jarzab, Daria Handkiewicz-Junak
Differentiated thyroid cancer (Dtc) is a rare disease, especially in children. Differences in the biology and clinical course of Dtc in children, when compared with adults, may be related both to pathogenesis as well as to clinical outcome of the disease. In childhood, the thyroid gland exhibits higher susceptibility to the carcinogenetic …
Vasiliki Skarpa, Eleni Κousta, Athanasia Tertipi, Konstantinos Anyfandakis, Marina Vakaki, Maria Dolianiti, Aspasia Fotinou, Asteroula Papathanasiou
OBSECTIVE: Chronic autoimmune thyroiditis (AT) is the most common cause of thyroid disease in children. The aim of the study was to define the epidemiological clinical and laboratory characteristics of children and adolescents with AT. DESIGN: Various parameters including thyroid ultrasonography of 228 children and adolescents …
Spyridon N. Karras, Panagiotis Anagnostis, Andrea Petroczi, Cedric Annweiler, Declan P. Naughton, Dimitrios G. Goulis
Maternal hypovitaminosis D during pregnancy has been associated with a wide spectrum of adverse maternal and neonatal health outcomes, some manifesting stronger associations than others. Research in this field has entered the “era of systematic data evaluation” via the conducting of a series of meta-analyses in an attempt to synthesize …
Melpomeni Peppa, Helen Vlassara
Diabetes mellitus, especially type 2 diabetes, is increasing at an alarming rate and is considered as one of the main threats to human health in the 21st century, in both developed and developing nations.1
More than 150 million people currently have diabetes, and twice that number is at high risk of developing diabetes in the next 5-10 years …
Charilaos Stylianou, Assimina Galli-Tsinopoulou, Dimitrios Farmakiotis, Israel Rousso, Michael Karamouzis, George Koliakos, Sanda Nousia-Arvanitakis
OBJECTIVE: Ghrelin and leptin levels are influenced by body fat (BF%), pubertal stage and possibly insulin resistance (IR). The aim of our study was: 1) To compare fasting ghrelin and leptin levels between obese and non-obese, adolescents, 2) to investigate possible correlations of these hormones with BF %, as well as IR…
Olga Karapanou, Anastasios Papadimitriou
It has been more than 120 years since a committee of the Royal College of Physicians in London linked the paramount role of the thyroid gland to normal brain development.1 Currently, all developed countries and an increasing number of the developing ones have implemented the neonatal hypothyroidism screening test for early diagnosis …