8 results match your criteria: "Department of Medicine Walter Reed National Military Medical Center Bethesda Maryland USA.[Affiliation]"
Three cases highlighting possible discrepancies in the interpretation of transgender DXA scores.
Clin Case Rep
February 2024
Division of Endocrinology, Department of Medicine Walter Reed National Military Medical Center Bethesda Maryland USA.
For diagnosis of osteoporosis, a -score of ≤-2.5 is recommended for all transgender and gender-diverse patients aged 50 years or older, regardless of hormonal status. This case series presents 3 transgender individuals younger than 50 years undergoing gender-affirming hormone therapy (GAHT) who had DXA scores suggestive of osteoporosis.
View Article and Find Full Text PDFArticle Synopsis
- * Out of 245 patients analyzed, 27.9% had precapillary PH at the time of transplant listing, with an average age of 54 years and a median lung allocation score of 81.3.
- * No significant differences were found in pre- or post-transplantation survival outcomes between patients with and without precapillary PH, suggesting it does not affect transplantation results for CRLD.
Dental loss, stress fractures, and musculoskeletal pain in a 48-year-old woman.
Clin Case Rep
March 2023
Division of Endocrinology, Department of Medicine Walter Reed National Military Medical Center Bethesda Maryland USA.
We report a 48-year-old female patient with various stress fractures of extremities, musculoskeletal pain, and tooth loss. Hypophosphatasia was diagnosed based on clinical and laboratory findings and ALPL genetic results. This case highlights the importance of early diagnosis of hypophosphatasia in adults and appropriate treatment to prevent further complications.
View Article and Find Full Text PDFDilemmas in the diagnosis and management of osteoporosis in a patient with alkaptonuria: Successful treatment with teriparatide.
Clin Case Rep
December 2022
Division of Endocrinology, Department of Medicine Walter Reed National Military Medical Center Bethesda Maryland USA.
Article Synopsis
- Managing osteoporosis in patients with alkaptonuria poses unique challenges.* -
- This case report is the first to show that teriparatide is effective after treating with zoledronic acid.* -
- The findings suggest that this treatment approach can help prevent fragility fractures in affected patients.*
Graves' disease complicated by concurrent thyroid eye disease and pretibial myxedema successfully treated with teprotumumab.
Clin Case Rep
November 2022
Division of Endocrinology, Department of Medicine Uniformed Service University of the Health Sciences Bethesda Maryland USA.
Article Synopsis
- A 51-year-old woman was diagnosed with thyroid eye disease and pretibial myxedema confirmed by a biopsy.
- She received treatment with teprotumumab, a monoclonal antibody.
- Following the treatment, she experienced noticeable improvement in her condition.
Described is a rare presentation of ectopic thyroid tissue as a lateral neck mass. This case raises the awareness that a lateral neck mass (including ectopic thyroid mass) needs appropriate investigations to rule out malignancy.
View Article and Find Full Text PDFCervical lymphadenopathy is a very common complaint for patients presenting to an endocrinology clinic. This case highlights common locations that malignancy presents at as well as their ultrasound characteristics.
View Article and Find Full Text PDFThyroid incidentalomas on FDG PET/CT are common with one-third of focal uptakes caused by malignancies. Toxic nodules should be excluded. Ultrasound risk-adapted systems can classify thyroid nodules and identify those who need biopsy.
View Article and Find Full Text PDF