hrp0086p1-p547 | Perinatal Endocrinology P1 | ESPE2016

Laboratory Findings of 302 Patients with Hyperinsulinemic Hypoglycemia at Hypoglycemia

Yorifuji Tohru , Sakakibara Azumi , Hashimoto Yukiko , Hosokawa Yuki , Kawakita Rie

Background: It is critically important to correctly diagnose hyperinsulinemic hypoglycemia (HH) to avoid neurological sequelae. However, the diagnosis is not always easy in the critical care setting since some patients present with atypical biochemical profiles.Objective and hypotheses: To delineate the range of biochemical data of HH patients at hypoglycemia to help establish a better diagnostic criteria.Method: Biochemical data (...

hrp0089p2-p022 | Adrenals and HPA Axis P2 | ESPE2018

Unilateral Adrenalectomy for Primary Pigmented Nodular Adrenocortical Disease Causing Cushing Syndrome

Higuchi Shinji , Kawakita Rie , Hosokawa Yuki , Yamada Yuki , Oyachi Maki , Matsumura Kana , Yorifuji Tohru

Background: Bilateral primary pigmented nodular adrenocortical disease (PPNAD) is one of the rare causes of Cushing syndrome, which has traditionally been treated by bilateral adrenalectomy. However, bilateral adrenalectomy mandates life-long adrenal hormone replacement and the patients remain at risk of adrenal failure for the rest of their lives. In adult patients with PPNAD, there have been a few reports of successful unilateral adrenalectomy. However, to our knowledge, the...