Publications by authors named "Leman Kayas"

Article Synopsis
  • The study aimed to analyze the trends and average annual changes in the incidence of type 1 diabetes (T1DM) in children under 18 in Malatya province from 2007 to 2019.
  • Data was collected from pediatric clinics and the Turkish Statistical Institute, calculating incidences per 100,000 children and examining variations by year, gender, and age groups.
  • Results showed a 13.1 per 100,000 child years incidence rate over 13 years, with a significant rise of 8.3% annually, particularly noted among older age groups.
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Objective: Idiopathic hypogonadotropic hypogonadism (IHH) is classified into two groups-Kalman syndrome and normosmic IHH (nIHH). Half of all cases can be explained by mutations in >50 genes. Targeted gene panel testing with nexrt generation sequencing (NGS) is required for patients without typical phenotypic findings.

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Context: 17α-Hydroxylase/17,20-lyase deficiency (17OHD) is characterized by decreased sex steroids and cortisol synthesis, as well as an increased mineralocorticoid effect.

Aim: This study aimed to evaluate the clinical, biochemical, and molecular characteristics of patients with 17OHD and to discuss the diagnosis, treatment, and follow-up process.

Methods: Age, symptoms, anthropometric measurements, blood pressure, and hormonal, biochemical, and chromosomal analysis results of 13 patients diagnosed with 17OHD between 2003 and 2022 were recorded at admission and during follow-up.

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Background: The study aim was to examine changes in trends of presenting features during the diagnosis of patients followed up with newly diagnosed Type 1 diabetes mellitus (T1DM) over the past 24 years.

Methods: The study was retrospective. Patients with a diagnosis of T1D between the years of 1996-2019 were included.

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Variants of the melanocortin-4 receptor () gene are the most common cause of monogenic obesity. It has been shown that, while obesity cannot be controlled with diet and exercise, glucagon-like-peptide-1 receptor agonists (GLP-1 RA) provide weight loss in the short term. In this paper, our experience with liraglutide treatment in an adolescent patient carrying a gene variant is presented.

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An activating variant of the thyroid stimulating hormone receptor () gene is one of the rare causes of neonatal hyperthyroidism. This disorder may occur as a result of an autosomal dominant inheritance or sporadically through de novo variation. Here we present a case of neonatal onset congenital non-autoimmune hyperthyroidism (NAH) with a sporadic germline activating variant.

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The enzyme 17-β-hydroxysteroid dehydrogenase type 3 (17β-HSD3) catalyzes the biosynthesis of testosterone (T) from Δ4-androstenedione, and plays an important role in the final steps of androgen synthesis. 17β-HSD3 deficiency originates from mutations in the HSD17B gene, causing an autosomal recessive 46,XY sex developmental disorder (DSD). Patients with 46,XY karyotype can exhibit a wide phenotypic spectrum, varying from complete external female genitalia to male genitalia with hypospadias.

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Article Synopsis
  • Primary adrenal insufficiency (PAI) in children is most commonly caused by congenital adrenal hyperplasia (CAH), but there are multiple non-CAH genetic causes, with a study identifying 30.1% of cases as non-CAH.
  • A retrospective analysis of 73 PAI patients aged 0-18 revealed diverse non-CAH etiologies, including adrenoleukodystrophy and various syndromes, with key symptoms being hyperpigmentation and signs of hypoglycemia.
  • Advanced molecular techniques can effectively diagnose non-CAH PAI conditions, enhancing understanding and management of this rare but critical disorder in children.
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