Publications by authors named "Hiya Boro"

Unlabelled: Pheochromocytoma and paraganglioma (PPGL) have been associated with low bone mineral density (BMD) due to excess sympathetic system stimulation. Our study revealed low BMD and TBS (trabecular bone score) in cases compared to matched controls. Plasma-free nor-metanephrine and hypertension duration found to be most consistent predictive factors.

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Russell-Silver syndrome (RSS) is a rare genetic disorder characterized by intrauterine growth restriction (IUGR), postnatal growth failure, and distinctive dysmorphic features. We present a case of a four-year-old male presenting with a slow growth velocity with a history of IUGR and surgical interventions, exhibiting classic RSS features. Laboratory investigations revealed low insulin-like growth factor 1 (IGF-1) and low growth hormone (GH) levels on stimulation tests.

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Article Synopsis
  • The study aimed to assess whether elevated fasting plasma glucose (FPG) levels in the first trimester can predict the development of gestational diabetes mellitus (GDM) later in pregnancy, as well as associated adverse events.
  • It analyzed data from 16 studies involving over 115,000 pregnancies and found that FPG levels above 5.1 mmol/L (92 mg/dL) significantly increased the risk of GDM and several pregnancy complications including pre-eclampsia and large-for-gestational-age infants.
  • However, the research had limitations, such as a lack of diverse studies reporting on higher FPG thresholds, particularly at 6.1 mmol/L (110 mg/dL).
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Background: Endocrinology has been a popular choice of super-specialisation in India in recent years. The PURsuit of Endocrinology (PURE) survey aims to determine the factors that facilitated the selection of endocrinology as the area of super-specialisation among first-year residents across India.

Methods: We conducted an electronic questionnaire-based survey among first-year residents across India.

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To investigate the frequency, profile, and severity of COVID-19 breakthrough infections (BI) in patients with type I diabetes mellitus (T1DM) compared to healthy controls (HC) after vaccination. The second COVID-19 Vaccination in Autoimmune Diseases (COVAD-2) survey is a multinational cross-sectional electronic survey which has collected data on patients suffering from various autoimmune diseases including T1DM. We performed a subgroup analysis on this cohort to investigate COVID-19 BI characteristics in patients with T1DM.

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Parathyroid carcinoma is a rare endocrine neoplasm that accounts for <1% of cases of primary hyperparathyroidism. The management of parathyroid carcinoma is a challenge due to the high rate of local recurrence of the tumour. We report the case of a middle-aged north Indian woman who presented with recurrent primary hyperparathyroidism due to parathyroid carcinoma.

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Introduction: Early detection and diagnosis of diabetic autonomic neuropathy, especially cardiac autonomic neuropathy (CAN), have gained attention recently because of their elevated cardiovascular mortality risk. Although the connection between type 2 diabetes mellitus and autonomic neuropathy is well established, evidence is emerging that the association might predate the stage of prediabetes.

Objective: The present study was undertaken to compare the prevalence of CAN in prediabetes versus that in normoglycemic controls.

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Article Synopsis
  • Monogenic obesity can be caused by mutations in single genes related to hunger and satiety, with the leptin receptor (LEPR) gene mutation being one of the rare causes leading to early-onset obesity and other metabolic issues.
  • A case study of a 12-month-old boy showed rapid weight gain and hyperphagia, with genetic tests revealing a novel, damaging variant in the LEPR gene that was categorized as a variant of uncertain significance.
  • The family sought financial assistance for treatment with setmelanotide, a new therapy for monogenic obesity linked to LEPR mutations, indicating a gap between healthcare needs and resources for affected families.
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Aims/introduction: Coronavirus disease 2019 (COVID-19) vaccinations have been proven to be generally safe in healthy populations. However, the data on vaccine safety in patients with type 1 diabetes are scarce. This study aimed to evaluate the frequency and severity of short-term (<7-day) adverse vaccination events (AEs) and their risk factors among type 1 diabetes patients.

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Objectives: Graves' disease (GD) is the most common cause of thyrotoxicosis. There are many studies that have evaluated bone mineral density (BMD) in Graves' disease. However, the strength of a bone also depends on its microarchitecture which can be assessed by various techniques.

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  • Endogenous Cushing's syndrome (CS) can lead to secondary osteoporosis and vertebral fractures even with normal bone mineral density (BMD); thus, the study aimed to analyze BMD and trabecular bone score (TBS) in CS patients compared to healthy controls.
  • The study included 40 women with endogenous CS and 40 matched healthy controls, measuring biochemical parameters, BMD, and TBS.
  • Results showed that CS patients had significantly lower BMD and TBS values than controls, with some patients having normal BMD but low TBS, indicating that TBS is a valuable tool for assessing bone health in these patients.
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Epigenetics of type 2 diabetes mellitus (T2DM) has widened our knowledge of various aspects of the disease. The aim of this review is to summarize the important epigenetic changes implicated in the disease risks, pathogenesis, complications and the evolution of therapeutics in our current understanding of T2DM. Studies published in the past 15 years, from 2007 to 2022, from three primary platforms namely PubMed, Google Scholar and Science Direct were included.

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Diabetes mellitus can be associated with a variety of musculoskeletal disorders. Diabetic cheiroarthropathy or diabetic hand syndrome is one of the complications encountered in long-standing uncontrolled diabetes. It is characterized by limited movement of the joints of the hands along with thickening of the skin on the palmar and dorsal surfaces.

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Introduction: Primary hyperparathyroidism (PHPT) is a rare disease in children and adolescents. Early recognition of this disease is important to prevent significant morbidity and mortality.

Material And Methods: We included 10 consecutive patients with PHPT aged 14 to 19 years of age and followed-up prospectively upto one year after parathyroidectomy.

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Introduction: Primary hyperparathyroidism (PHPT) is a disease that is usually diagnosed in an asymptomatic state during routine biochemical screening. It generally manifests as a sporadic disease in post-menopausal women. However, in India and developing countries, we continue to see severe skeletal and renal manifestations of the disease.

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Article Synopsis
  • - Cushing's syndrome is a rare condition in children, with adrenocortical carcinomas (ACC) being a common cause in ages 1 to 5, often producing additional hormones that can lead to symptoms of precocious puberty alongside Cushing's symptoms.
  • - Differentiating between malignant adrenocortical carcinomas and benign adenomas is challenging due to similarities in clinical presentation, imaging, and tissue analysis.
  • - The case of a 2.5-year-old boy with Cushing's syndrome and signs of virilization highlights the diagnostic difficulties in determining whether a pediatric tumor is benign or malignant.
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  • * Common skeletal manifestations of uncorrected RTA include rickets, osteomalacia, fractures, and secondary osteoporosis, often due to increased bone resorption linked to acidosis and other renal and metabolic factors.
  • * The study describes five cases of MBD diagnosed with RTA, emphasizing the need for early recognition to prevent long-term skeletal damage and providing evaluation algorithms to better diagnose and understand the condition.
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  • * Hypoglycemia typically occurs after meals and can resolve on its own within six months to a year, but persistent cases may require various treatments including diet changes, medications, and even surgeries.
  • * A specific case involved a 64-year-old woman who suffered from severe post-meal hypoglycemia; her condition improved significantly after receiving two doses of Rituximab, highlighting the potential of this drug as a first-line treatment for IAS.
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Langerhans cell histiocytosis (LCH) is a rare clonal neoplastic disorder of Langerhans cells, with an incidence rate of 5 per million individuals. In adults LCH usually affects bone followed by lung, skin, pituitary gland, liver, spleen, and orbits. LCH presenting with endocrinopathy is rare and commonly involves posterior pituitary with central diabetes insipidus (DI).

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