Publications by authors named "Ayse K Uzum"

Aims: Bidirectional detrimental relationships between COVID-19 infection and diabetes have been described globally. However, new-onset diabetes in adults and its follow-up during the pandemic have not been sufficiently investigated. In this study, new-onset autoimmune and type 2 diabetes cases during the pandemic were compared to those before the pandemic, and the clinical course of new-onset diabetes during the pandemic was examined.

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  • The study aimed to compare various clinical and hormonal characteristics, treatment methods, and survival outcomes of ectopic Cushing's syndrome (ECS) between male and female patients.
  • Data was collected from 11 medical centers, evaluating 54 patients (28 females and 26 males), and found similarities in age, clinical presentation, and hormone levels despite some differences like higher rates of diabetes and osteoporosis in males.
  • Overall, the results showed comparable disease progression, treatment responses, and remission rates between sexes, but indicated that males experience more severe conditions such as hyperglycemia and osteoporosis.
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Introduction: This study aims to assess Ga-Trivehexin PET/CT for detecting hyperfunctioning parathyroid tissue in comparison to [Tc]Tc-MIBI scintigraphy-SPECT/CT (MIBI scan) in patients with primary hyperparathyroidism (PHPT).

Methods: The cohort comprised 13 patients diagnosed with PHPT based on biochemical analyses, including serum calcium, phosphorus, and parathyroid hormone (PTH) levels. Each participant underwent cervical ultrasonography, MIBI scan, and Ga-Trivehexin PET/CT imaging.

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The role of severity and duration of inflammatory findings on the development of persistent hypothyroidism and anemia has not been clarified in subacute thyroiditis (SAT). Demographic data and laboratory parameters of patients with SAT were analyzed retrospectively. Permanent hypothyroidism was observed in 28.

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Background: The primary treatment for patients with acromegaly has traditionally been transsphenoidal surgery, with decreasing reliance on radiotherapy (RT) due to advancements in pharmacotherapy (PT). Despite these advancements, a substantial portion of patients still face persistent acromegaly, necessitating novel treatment approaches. This study investigates the role of CyberKnife Stereotactic Hypofractionated Radiotherapy (CK-HFRT) in persistent acromegaly.

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Purpose: The aim of this study is to review the clinical and laboratory characteristics, diagnostic and treatment modalities of tumor-induced osteomalacia (TIO) cases managed in a single center.

Material Methods: Demographic and clinical features, biochemical findings, diagnostic procedures, treatment modalities, and outcomes of nine patients who had the diagnosis of TIO were reviewed retrospectively.

Results: Mean age of the study group (F/M: 4/5) was 45.

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Context: The aims of the study are to compare characteristics of subacute thyroiditis (SAT) related to different etiologies, and to identify predictors of recurrence of SAT and incident hypothyroidism.

Methods: This nationwide, multicenter, retrospective cohort study included 53 endocrinology centers in Turkey. The study participants were divided into either COVID-19-related SAT (Cov-SAT), SARS-CoV-2 vaccine-related SAT (Vac-SAT), or control SAT (Cont-SAT) groups.

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The aim of this study was to evaluate the efficacy of cabergoline in normalizing plasma IGF-I levels in acromegaly patients with elevated IGF-I levels after surgery and/or SRL therapy. Acromegaly patients (n: 143) were evaluated retrospectively. Patients with elevated IGF-I levels after surgery and/or SRLs therapy and a fixed dose of SRLs treatment for the last six months with no history of radiotherapy in the last three years were included in the study (n: 12).

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Dilated cardiomyopathy (DCM) is characterized by systolic dysfunction and is usually idiopathic. A rare cause of reversible DCM is hypocalcemia. Calcium plays a key role in myocardial contraction.

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Purpose: Following Roux-en-Y gastric bypass (RYGB), positive alterations are observed in gut microbiota and intestinal peptides. Previous studies demonstrated similar alterations observed in cases when pre-probiotics are used without surgery. The aim of this trial was to evaluate the effectiveness of early use of pre-probiotics after RYGB.

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Introduction: Gastroesophageal reflux disease (GERD) is more frequent in patients with diabetes mellitus (DM).The aim of the present study was to evaluate gastroesophageal reflux (GER) in asymptomatic patients with DM using 24-h pH impedance.

Materials And Methods: 19 healthy controls and 35 patients with DM without typical GERD symptoms were enrolled in the study.

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Unlabelled: The aim of the the study is to compare the effects of cholecalciferol and calcitriol on bone mineral metabolism in women with vitamin D deficiency. Calcitriol was associated with a significant increase in bone mineral density at the lumbar spine in patients with low vitamin D levels.

Purpose/introduction: Active vitamin D analogs may have larger impact in decreasing bone loss and fracture rate compared to cholecalciferol in osteoporosis.

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Background The association of subacute thyroiditis (SAT) and papillary thyroid carcinoma is a rare finding. In this study, we aimed to investigate the prevalence of differentiated thyroid cancer in a cohort of patients followed with the diagnosis of SAT. Patients and methods We retrospectively screened medical records of Endocrinology and Metabolism outpatient clinic in the past 20 years for patients with SAT.

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Objective: Familial partial lipodystrophy (FPLD) is a rare genetic disorder characterized by partial lack of subcutaneous fat.

Methods: This multicenter prospective observational study included data from 56 subjects with FPLD (18 independent Turkish families). Thirty healthy controls were enrolled for comparison.

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  • The study investigated the role of genetic mutations in the GPX1 and KCNJ11 genes in relation to new onset diabetes mellitus after renal transplantation (NODAT) among 118 transplant recipients.
  • Genetic analysis revealed that the GPX1 C599T polymorphism was significantly associated with NODAT, while KCNJ11 polymorphisms showed no significant links.
  • Additional factors such as age, blood pressure, cholesterol levels, weight change, and family history of diabetes were also correlated with the development of NODAT.
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Objectives: Recent research has shown that hypovitaminosis D may increase the risk of hypertension, vascular disease, diabetes mellitus, obesity and Metabolic Syndrome (MetS). Endothelial Dysfunction (ED) is one of the key components of MetS which is associated with an imbalance between vasoactive substances such as Nitric Oxide (NO) and Endothelins (ET). In this study, we assessed the association of 25(OH) D3 level with endothelial dysfunction and subclinical atherosclerosis in MetS patients.

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Purpose: We aimed to compare the efficacies of gallium-68 (68Ga) DOTATATE PET-computed tomography (CT), fluorine-18 fluorodeoxyglucose (18F-FDG) PET-CT and technetium-99m (99mTc)-(V)DMSA scintigraphy in the detection of residual/metastatic medullary thyroid carcinoma (MTC).

Materials And Method: We retrospectively evaluated DOTATATE PET-CT, 18F-FDG PET-CT and (V)DMSA scintigraphy of 22 MTC patients, all taken within a 6-month period in each patient, because of high levels of calcitonin (Ct) and carcinoembryonic antigen (CEA). We investigated the relationships between the results of the imaging modalities and tumour marker levels and the sporadic versus hereditary nature of the disease, as well as the effect of imaging results on patient management.

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Amyloidosis refers to a variety of conditions in which amyloid proteins are abnormally deposited in organs and/or tissues. The most common forms of systemic amyloidosis are primary amyloidosis (PA) of light chains and secondary amyloidosis (SA) caused by chronic inflammatory diseases such as rheumatoid arthritis (RA). Although involvement of the thyroid gland by amyloid is a relatively common phenomenon, clinically significant enlargement of the thyroid owing to amyloid deposition is a rare occurrence.

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  • Thyroid cancer associated with ovarian teratoma is rare, as shown in a case of a 26-year-old woman who had a follicular variant papillary thyroid carcinoma found during surgery for cystic ovarian masses.
  • After surgery, her tumor markers returned to normal, but follow-up imaging revealed cystic masses in her abdomen.
  • Total thyroidectomy and I-131 treatment were successful in eradicating the cancer, and it is suggested that such cases be approached similarly to primary thyroid cancers, combining radical surgery as necessary, with an option for fertility-preserving procedures.
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Background: Weight loss and muscle wasting are common features reported in COPD patients and they are all related with systemic inflammation. In this study, the relationship between pulmonary functions and inflammatory and metabolic parameters in low weight COPD patients were investigated.

Methods: Fifty male COPD patients were grouped according to the Global Initiative for Chronic Obstructive Lung Disease criteria.

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  • During pregnancy, women experience increased serum triglyceride (TG) and cholesterol levels, which can be dangerous for those with genetic hypertriglyceridemia, potentially leading to serious conditions like pancreatitis.
  • The study involved two pregnant women with severe hypertriglyceridemia; therapeutic apheresis was used alongside medical nutrition therapy and ω-3 fatty acids to manage their conditions.
  • Results showed that while double filtration apheresis reduced TG levels by up to 46.3%, plasmapheresis was more effective, achieving a 72% reduction, ultimately confirming that therapeutic apheresis can effectively manage dangerously high TG levels during pregnancy.
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  • The study investigated how thyroid removal affects certain fat-related hormone levels (leptin, adiponectin, and resistin) in women with hypothyroidism.
  • Thirty premenopausal women undergoing thyroidectomy were analyzed for changes in hormone levels and body measurements before and after surgery.
  • Although participants experienced significant weight gain and increased body fat after surgery, their levels of the hormones studied did not show significant changes related to their thyroid hormone levels.
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  • The study compares macroprolactinemic patients (high PRL levels without symptoms) with true hyperprolactinemic patients (lower PRL levels and symptoms) to assess the presence of pituitary adenomas.
  • Of the 161 hyperprolactinemic patients investigated, 60 (37.26%) were found to have macroprolactinemia, and only 26.7% of these had pituitary adenomas, indicating a lower prevalence compared to the true hyperprolactinemic group.
  • There were no significant differences in irregular menses and infertility between the two groups, but galactorrhea was less common in macroprolactinemic patients.
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Mean platelet volume (MPV) was studied in subclinical hypothyroidism (SH) and the results are conflicting. The aim of this study is to assess how MPV is affected in overt hypothyroidism (OH) and mild SH, the 2 end points of hypothyroidism, in patients having low cardiac risk. Premenopausal women without any cardiac risk, 18 with OH, 30 with mild SH, and 37 euthyroid controls were enrolled.

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