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Medizinische Klinik III, Universitätsklinikum Carl Gustav Carus an der Technische Universität Dresden, Dresden, Germany
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Klinik für Endokrinologie, Diabetologie und Klinische Ernährung, Universitätsspital Zürich, Zürich, Switzerland
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PPGLs are caused by the excessive production of catecholamines and include headache, palpitations and sweating together with intermittently or persistently elevated blood pressure ( 5 ). While the presence of typical signs and symptoms has some
Department of Neurological Surgery, Oregon Health & Science University, Portland, Oregon, USA
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Department of Neurological Surgery, Oregon Health & Science University, Portland, Oregon, USA
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Department of Neurological Surgery, Oregon Health & Science University, Portland, Oregon, USA
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secondary diabetes mellitus (DM)) ( 2 , 3 , 4 ). Long-standing acromegaly is relatively easy to diagnose due to multiple pathognomonic signs and symptoms. However, milder disease cases pose a great challenge, and an acromegaly diagnosis is eventually
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either confirmatory test for positive newborn screening (NBS) or thyroid function tests for other signs and symptoms suggesting CH. Patients with transient CH secondary to maternal conditions, sick euthyroid syndrome and obvious syndromic features were
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GHD to severe GH resistance ( 8 ). Thus, establishing the diagnosis of GHD can be challenging in children and adults. Although short stature and growth faltering are useful clinical markers for GHD in children, signs and symptoms of adult subjects with
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Department of Endocrinology, Leiden University Medical Center, Leiden, The Netherlands
Endo-ERN European Reference Network on Rare endocrine conditions
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Endo-ERN European Reference Network on Rare endocrine conditions
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Division of Endocrinology and Metabolism, Center for Clinical, Experimental Surgery and Translational Research, Biomedical Research Foundation of the Academy of Athens, Athens, Greece
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treatment for a brain tumor is a rare disease and patients may encounter difficulties in receiving optimal health care. Delay in recognition of signs and symptoms, difficulties in timely referral or assigning the correct treatment may occur. HD can have
Centre for Endocrinology, Diabetes and Metabolism, Birmingham Health Partners, Birmingham, UK
Department of Endocrinology, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
School of Nursing and Midwifery, Institute of Clinical Sciences, University of Birmingham, UK
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Department of Endocrinology, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
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Centre for Endocrinology, Diabetes and Metabolism, Birmingham Health Partners, Birmingham, UK
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signs and symptoms they would monitor. A small proportion ( n = 8–11, 12–16%) would complete radiological assessments (i.e. bone mineral density and/or body composition measurements) ( Fig. 4 ). Figure 4 Responses to Q11 of the survey: ‘If you
Institute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK
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manifestation, family history of HPP, signs and symptoms, height, and weight, from consenting and assenting patients with HPP (or their parents or guardians as appropriate) ( 4 , 8 ). All data were collected during routine clinical visits ( 8 ). Data recorded
Department of Medicine IV, Medical Center – University of Freiburg
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. Sign and symptom score A clinical evaluation score (CES) was developed in order to allow for the uniform categorisation into symptomatic and asymptomatic patients. To that end, patients were ranged according to the documented presence/absence of the
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higher risk of adrenal crisis. Clinical presentation Clinical signs and symptoms : Fatigue, lack of energy, weight loss Low blood pressure, postural dizziness and hypotension (≥20 mmHg drop in BP from supine to standing position), dizziness
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evaluation, they were prescribed a repeated 30-day MPSL scheme. One patient was prescribed a 20-day 16 mg MPSL scheme and one was advised to take analgesic drugs only (both at visit 2). Three patients complained of recurrent signs and symptoms after 1 month