hrp0098p1-28 | Diabetes and Insulin 1 | ESPE2024

Role of urinary tumor necrosis factor-alpha and transferrin in the diagnosis of diabetic nephropathy in pediatric patients with type 1 diabetes mellitus.

Modeva Iskra , Archinkova Margarita , Tsakova Adelina , Savova Radka

Introduction: Diabetic nephropathy (DN) is one of the most frequent and severe complications of diabetes mellitus and a leading etiological cause of chronic kidney disease. Early diagnosis and treatment are essential to prevent further deterioration of kidney function. Albuminuria has been considered to be the clinical hallmark of diabetic kidney disease and is used for its diagnosis and follow-up. Although microalbuminuria is a marker established in the clini...

hrp0094p2-109 | Diabetes and insulin | ESPE2021

Clinical Case of Cystic Fibrosis-like and APECED-like Syndrome due to Gain-of-Function Variant in STAT1

Vasilev Teodor , Johnson Matthew , Yaneva Natasha , Slavcheva Olga , Modeva Iskra , Hattersley Andrew , Savova Radka ,

Background: STAT1 mutations can cause an extensive spectrum of disease, varying from severe bacterial and viral infections to mild disseminated mycobacterial disease, also chronic mucocutaneous candidiasis. Many patients present with autoimmune manifestations as type 1 diabetes, hypothyroidism and systemic lupus erythematosus. There are risks of cancers and cerebral aneurysms.Aim: To present the clinical manifes...

hrp0097p1-45 | Diabetes and Insulin | ESPE2023

Common challenges of one uncommon syndrome - single center experience with Congenital Generalized Lipodystrophy

Slavcheva - Prodanova Olga , Archinkova Margarita , Yaneva Natasha , Modeva Iskra , Dimova Ivanka , Savova Radka

Aim: To present some therapeutic difficulties in patients with congenital generalized lipodystrophy (CGL) - a rare autosome recessive disorder characterized by complete absence of adipose tissue. For many years therapy was aimed only at metabolic consequences. In the past few years new pathophysiologic treatment has become available.Methods and materials: We present four girls – currently 25, 22, 16 and 15 years ol...