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Diagnosis and treatment of solitary fibrous tumors of the thyroid gland: the importance of an appropriate diagnostic approach. 甲状腺孤立性纤维性肿瘤的诊断和治疗:适当诊断方法的重要性。
IF 1.8 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-03-24 DOI: 10.1016/j.endien.2026.501744
Maria Teresa Soriano Palao, Miriam Abellán Lucas, Juan José Ruiz Manzanera, Álvaro Cerezuela Fernández de Palencia, Beatriz Febrero Sánchez, José Manuel Rodríguez González

Solitary fibrous tumor (SFT) is a type of fibroblastic neoplasm with characteristic histological features, typically showing cytoplasmic expression of CD34 and nuclear expression of STAT6, associated with NAB2-STAT6 gene fusion. Thyroid localization is exceptionally rare, with only 51 cases reported worldwide to date. Its behavior in the thyroid is generally benign, although it may exhibit rapid growth, and its treatment is primarily surgical. The NAB2-STAT6 gene fusion, detected by immunohistochemistry, is pathognomonic for SFT. As exemplified in the present case, core needle biopsy (CNB) is more likely to provide sufficient material for microscopic, immunohistochemical, and other diagnostic techniques.

孤立性纤维性肿瘤(SFT)是一种具有特征性组织学特征的纤维母细胞肿瘤,典型表现为细胞质表达CD34和细胞核表达STAT6,与NAB2-STAT6基因融合有关。甲状腺定位异常罕见,迄今为止全球仅报道了51例。它在甲状腺中的表现通常是良性的,尽管它可能表现出快速的生长,它的治疗主要是手术。免疫组织化学检测NAB2-STAT6基因融合是SFT的病理特征。如本病例所示,穿刺活检(CNB)更有可能为显微镜、免疫组织化学和其他诊断技术提供足够的材料。
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引用次数: 0
HbA1c and hemoglobin "La Desirade" are they compatible for monitoring patients with diabetes? Contribution of a clinical case. HbA1c和血红蛋白“La Desirade”是否适用于糖尿病患者的监测?一个临床病例的贡献。
IF 1.8 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-03-10 DOI: 10.1016/j.endien.2026.501731
Alba Barreiro Lusquiños, Ramiro Antonio Torrado Carrión, Carmen Blanco Barros
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引用次数: 0
Prevalence of malnutrition, sarcopenia, and sarcopenic obesity in patients with heart failure. 心力衰竭患者营养不良、肌肉减少症和肌肉减少性肥胖的患病率
IF 1.8 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-03-07 DOI: 10.1016/j.endien.2026.501718
M Carmen Dameto Pons, Elena González Arnáiz, María Antequera González, María Casado Rodríguez, Diana García Sastre, María García Duque, Javier Castañón Alonso, Diana Ariadel Cobo, María D Ballesteros Pomar

Introduction: Malnutrition, sarcopenia and sarcopenic obesity have a significant impact on patients with heart failure. Therefore, it is important to perform nutritional assessment in this group of patients. The aim of this study is to determine the prevalence of malnutrition, sarcopenia and sarcopenic obesity in patients with heart failure, assess their quality of life, and eventually reassess their nutritional status.

Methodology: We conducted an observational study of patients with heart failure randomly referred by thecCardiology department and examined from 2021 through 2022 in the Nutrition department and then re-evaluated in 2024. The diagnosis of malnutrition was established using the GLIM criteria; sarcopenia was diagnosed according to EWGSOP2, and sarcopenic obesity according to the ESPEN/EASO criteria.

Results: A total of 41 patients were evaluated between 2021 and 2022, of whom 23 were re-evaluated in 2024. A total of 82.6% were men (mean age, 64 yeras [SD, 10.6]). Initially the prevalence of malnutrition was 21.7%; sarcopenia, 8.7%; and sarcopenic obesity, 4.3%. Caloric and protein requirements were not reached in 63.2% and 47.4%, respectively. A total of 26.1% of patients had a low calf circumference (CC) value; 100% had low lower limb strength, 90.9% had low gait speed, and 50% had low stability. All patients (100%) had a good quality of life as assessed by the MLHFQ questionnaire. At reassessment, the prevalence of malnutrition was 21.7%; sarcopenia, 17.4%; and sarcopenic obesity, 8.7%. Caloric and protein requirements were not reached in 60.9% and 78.3%, respectively. Furthermore, 52.2% had low CC value, 100% had low lower limb strength, 91.3% had low speed and 43.5% had low stability. A total of 91.3% had a good quality of life as assessed by the MLHFQ questionnaire.

Conclusions: Approximately 20% of patients with heart failure exhibit malnutrition at initial assessment and during follow-up. A high percentage of patients do not achieve nutritional requirements, presenting deterioration in functional tests and worsening quality of life. It is therefore advisable to establish early and sustained nutritional screening and assessment strategies in these patients, establishing the appropriate nutritional medical treatment.

导读:营养不良、肌少症和肌少性肥胖对心力衰竭患者有显著影响。因此,对这组患者进行营养评估是很重要的。本研究的目的是确定心力衰竭患者营养不良、肌肉减少症和肌肉减少性肥胖的患病率,评估他们的生活质量,并最终重新评估他们的营养状况。方法:我们对心内科随机转诊的心力衰竭患者进行了一项观察性研究,并于2021年至2022年在营养科进行了检查,然后在2024年进行了重新评估。营养不良的诊断采用GLIM标准;根据EWGSOP2诊断肌少症,根据ESPEN/EASO诊断肌少性肥胖。结果:2021 - 2022年共评估41例患者,其中23例在2024年重新评估。82.6%为男性(平均年龄64岁[SD, 10.6])。最初,营养不良发生率为21.7%;sarcopenia, 8.7%;肌肉减少型肥胖占4.3%。热量和蛋白质需求分别达不到63.2%和47.4%。26.1%的患者小腿围(CC)值较低;100%患者下肢力量低,90.9%患者步态速度低,50%患者稳定性低。所有患者(100%)通过MLHFQ问卷评估生活质量良好。重新评估时,营养不良患病率为21.7%;sarcopenia, 17.4%;肌肉减少型肥胖占8.7%。热量和蛋白质需求分别达不到60.9%和78.3%。此外,52.2%的人CC值低,100%的人下肢强度低,91.3%的人速度低,43.5%的人稳定性低。通过MLHFQ问卷评估,91.3%的人生活质量良好。结论:大约20%的心力衰竭患者在初始评估和随访期间表现出营养不良。很高比例的患者不能达到营养要求,导致功能检查恶化,生活质量恶化。因此,建议在这些患者中建立早期和持续的营养筛查和评估策略,建立适当的营养医学治疗。
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引用次数: 0
Between benefit and risk: The role of dietary supplements in endocrinology. 益处与风险之间:膳食补充剂在内分泌学中的作用。
IF 1.8 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-03-07 DOI: 10.1016/j.endien.2026.501711
Cristina Tejera-Pérez
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引用次数: 0
RECALSEEN 2024. Resources and quality in the endocrinology and nutrition units of the National Health System of Spain. RECALSEEN 2024。资源和质量在内分泌和营养单位的西班牙国家卫生系统。
IF 1.8 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-03-07 DOI: 10.1016/j.endien.2026.501729
M Julia Ocón Bretón, Juan José Díez, Gabriel Olveira Fuster, Alberto Fernández Martínez, Alba Galdón Sanz-Pastor, Nuria Vilarrasa García, Beatriz Lardies Sánchez, Emma Anda Apiñaniz, Francisco Pita Gutiérrez, Manuel Gahete Ortiz, Juan José López Gómez, Rosa Casañ Fernández, Miguel Ángel Rubio Herrera, Náyade Del Prado, Javier Escalada San Martín, Francisco Javier Elola Somoza, Ignacio Bernabeu Morón

Objectives: RECALSEEN analyses the structure, activity and results of the Endocrinology and Nutrition Services and Units (S-U_EyN) of the Spanish National Health System (SNHS). This article presents data collected from the 2024 survey, as well as activity and outcome indicators from the SNHS Minimum Basic Data Set (CMBD) for 2007-2022.

Material and methods: Descriptive cross-sectional study of S-U_EyN in general acute care hospitals of the SNHS. Data obtained through an ad hoc survey referring to data from 2023 and discharges from S-U_EyN recorded in the CMBD (2022) were used.

Results: A total of 116 responses were obtained from S-U_EyN of 160 general acute care hospitals in the SNHS (72%). Fifty-six per cent of the S-U_EyN respondents were services or clinical management units. The average number of endocrinologists per S-U_EyN department was 8.4 (5.4), with an estimated rate of 2.9 endocrinologists per 100,000 inhabitants. In 74% of hospitals there is a Clinical Nutrition Unit (dependent on the S-U_EyN in 93% of cases) and 39% of S-U_EyNs have a day hospital. The portfolio of services offered by S-U_EyN is closely related to the complexity of the hospital. There is a significant trend to decline in hospitalisations for endocrine and nutritional diseases. Notable differences were found in resources, activity and outcomes between hospitals and autonomous communities. In relation to quality management and the implementation of good practices, there was still considerable room for improvement. The trend to worsening of short- and long-term complication indicators for diabetes mellitus in the period 2016-2022 should be analysed.

Conclusions: RECALSEEN provides relevant information on S-U_EyN and the evolution of endocrinology and nutrition care in the SNHS.

目的:RECALSEEN分析了西班牙国家卫生系统(SNHS)的内分泌和营养服务和单位(S-U_EyN)的结构、活动和结果。本文介绍了从2024年调查中收集的数据,以及2007-2022年SNHS最低基本数据集(CMBD)的活动和结果指标。材料与方法:SNHS普通急症医院S-U_EyN描述性横断面研究。通过特别调查获得的数据参考了2023年的数据和CMBD中记录的S-U_EyN(2022年)的排放量。结果:我院160家普通急症医院的S-U_EyN共获得应答116份(72%)。56%的S-U_EyN答复者是服务或临床管理单位。S-U_EyN科平均内分泌师数为8.4人(5.4人),每10万居民估计有2.9名内分泌师。74%的医院设有临床营养科(93%的病例依赖于S-U_EyN), 39%的S-U_EyN设有日间医院。S-U_EyN提供的服务组合与医院的复杂性密切相关。因内分泌和营养疾病住院的人数有明显下降的趋势。医院和自治区在资源、活动和结果上存在显著差异。在质量管理和良好做法的实施方面,仍有相当大的改进余地。分析2016-2022年糖尿病短期和长期并发症指标恶化趋势。结论:RECALSEEN提供了SNHS患者S-U_EyN及内分泌学和营养护理发展的相关信息。
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引用次数: 0
Study of the prevalence of obesity and sedentary lifestyle among school-aged children in the Health Area of Jerez, Northwest Coast and Sierra de Cádiz 赫雷斯、西北海岸和塞拉利昂卫生区学龄儿童肥胖症和久坐生活方式流行情况研究Cádiz。
IF 1.8 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-03-01 Epub Date: 2026-02-05 DOI: 10.1016/j.endien.2026.501691
Josefa Rojas Villegas , Lourdes Garcia Garcia-Doncel , Maria Angeles Santos Mata , Yolanda Quirós López , Isabel Morón Rubio
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引用次数: 0
Anaplastic thyroid cancer that responds to treatment with RET inhibitor 对RET抑制剂治疗有反应的间变性甲状腺癌。
IF 1.8 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-03-01 Epub Date: 2026-02-03 DOI: 10.1016/j.endien.2026.501690
Carlos Ríos Gómez , Alicia Macías Batista , Ignacio García Puente , Laura Esther Guerrero Casanova , Miguel Carnero Gregorio
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引用次数: 0
Beyond the transtubular potassium gradient: Alternative urinary markers for diagnosing hypoaldosteronism 垂体后叶钾梯度:诊断低醛固酮增多症的尿液标志物。
IF 1.8 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-03-01 Epub Date: 2026-03-07 DOI: 10.1016/j.endien.2026.501686
Jorge Gabriel Ruiz-Sánchez , Alfonso Luis Calle-Pascual , Miguel Ángel Rubio-Herrera , María Paz De Miguel Novoa , Emilia Gómez-Hoyos , Isabelle Runkle

Background

The transtubular potassium gradient (TTKG) is a widely accepted tool for assessing mineralocorticoid activity in hyperkalemia. However, its clinical utility is often limited due to the unavailability of urine osmolality. Identifying alternative, more accessible urinary indices could improve diagnostic performance in suspected hypoaldosteronism.

Methods

We conducted a retrospective observational study including 106 hyperkalemic patients with hypoaldosteronism referred to Endocrinology Department. Through correlation analyses using Spearman's ρ and Pearson's r, we assessed the relationship between TTKG values and the urinary potassium-to-serum potassium ratio (UK+/SK+), the urinary potassium-to-creatinine ratio (UK+/creatinine), the fractional excretion of potassium (FEK), and the urinary sodium-to-potassium ratio (UNa+/UK).

Results

Mean age, 74 ± 12 years; mean TTKG, 3.8 ± 1.2, and UK+/creatinine, 62 ± 28 mmol/g. Median UNa+/UK+, 2.78 [1.81–3.72]; UK+/SK+, 5.1 [4–6.8]; FEK, 12.9% [7–18.9]. TTKG showed a strong positive correlation with UK+/SK+ (ρ = 0.706; p < 0.001) and FEK (ρ = 0.585; p < 0.001), and a moderate correlation with UK+/creatinine (r = 0.352; p = 0.011). An inverse strong correlation was observed with UNa+/UK+ (ρ = −0.655; p < 0.001).

Conclusions

UK+/SK, UK+/creatinine, FEK, and UNa+/UK+ seem to be practical alternatives for assessing renal potassium excretion in hyperkalemia associated with hypoaldosteronism. Further studies are warranted to validate these findings in larger and diverse cohorts.
背景:小管间钾梯度(TTKG)是一种被广泛接受的评估高钾血症中矿化皮质激素活性的工具。然而,由于无法获得尿液渗透压,其临床应用往往受到限制。确定替代的,更容易获得的尿指标可以提高诊断性能,怀疑醛固酮增多症。方法:我们对106例内分泌科高钾血症伴低醛固酮增多症患者进行回顾性观察研究。通过Spearman's ρ和Pearson's r的相关分析,我们评估了TTKG值与尿钾-血清钾比(UK+/SK+)、尿钾-肌酐比(UK+/肌酐)、尿钾分数排泄(FEK)和尿钠-钾比(UNa+/UK)之间的关系。结果:平均年龄74±12岁;平均TTKG为3.8±1.2,UK+/肌酐为62±28mmol/g。中位UNa+/UK+, 2.78 [1.81-3.72];Uk +/ sk +, 5.1 [4-6.8];Fek, 12.9%[7-18.9]。TTKG与UK+/SK+呈显著正相关(ρ=0.706; p+/肌酐(r=0.352; p=0.011)。结论:UK+/SK、UK+/肌酐、FEK和UNa+/UK+似乎是评估与低醛固酮增多症相关的高钾血症患者肾钾排泄量的实用替代方法。进一步的研究有必要在更大、更多样化的人群中验证这些发现。
{"title":"Beyond the transtubular potassium gradient: Alternative urinary markers for diagnosing hypoaldosteronism","authors":"Jorge Gabriel Ruiz-Sánchez ,&nbsp;Alfonso Luis Calle-Pascual ,&nbsp;Miguel Ángel Rubio-Herrera ,&nbsp;María Paz De Miguel Novoa ,&nbsp;Emilia Gómez-Hoyos ,&nbsp;Isabelle Runkle","doi":"10.1016/j.endien.2026.501686","DOIUrl":"10.1016/j.endien.2026.501686","url":null,"abstract":"<div><h3>Background</h3><div>The transtubular potassium gradient (TTKG) is a widely accepted tool for assessing mineralocorticoid activity in hyperkalemia. However, its clinical utility is often limited due to the unavailability of urine osmolality. Identifying alternative, more accessible urinary indices could improve diagnostic performance in suspected hypoaldosteronism.</div></div><div><h3>Methods</h3><div>We conducted a retrospective observational study including 106 hyperkalemic patients with hypoaldosteronism referred to Endocrinology Department. Through correlation analyses using Spearman's <em>ρ</em> and Pearson's <em>r</em>, we assessed the relationship between TTKG values and the urinary potassium-to-serum potassium ratio (UK<sup>+</sup>/SK<sup>+</sup>), the urinary potassium-to-creatinine ratio (UK<sup>+</sup>/creatinine), the fractional excretion of potassium (FEK), and the urinary sodium-to-potassium ratio (UNa<sup>+</sup>/UK).</div></div><div><h3>Results</h3><div>Mean age, 74<!--> <!-->±<!--> <!-->12 years; mean TTKG, 3.8<!--> <!-->±<!--> <!-->1.2, and UK<sup>+</sup>/creatinine, 62<!--> <!-->±<!--> <!-->28<!--> <!-->mmol/g. Median UNa<sup>+</sup>/UK<sup>+</sup>, 2.78 [1.81–3.72]; UK<sup>+</sup>/SK<sup>+</sup>, 5.1 [4–6.8]; FEK, 12.9% [7–18.9]. TTKG showed a strong positive correlation with UK<sup>+</sup>/SK<sup>+</sup> (<em>ρ</em> <!-->=<!--> <!-->0.706; <em>p</em> <!-->&lt;<!--> <!-->0.001) and FEK (<em>ρ</em> <!-->=<!--> <!-->0.585; <em>p</em> <!-->&lt;<!--> <!-->0.001), and a moderate correlation with UK<sup>+</sup>/creatinine (<em>r</em> <!-->=<!--> <!-->0.352; <em>p</em> <!-->=<!--> <!-->0.011). An inverse strong correlation was observed with UNa<sup>+</sup>/UK<sup>+</sup> (<em>ρ</em> <!-->=<!--> <!-->−0.655; <em>p</em> <!-->&lt;<!--> <!-->0.001).</div></div><div><h3>Conclusions</h3><div>UK<sup>+</sup>/SK, UK<sup>+</sup>/creatinine, FEK, and UNa<sup>+</sup>/UK<sup>+</sup> seem to be practical alternatives for assessing renal potassium excretion in hyperkalemia associated with hypoaldosteronism. Further studies are warranted to validate these findings in larger and diverse cohorts.</div></div>","PeriodicalId":48650,"journal":{"name":"Endocrinologia Diabetes Y Nutricion","volume":"73 3","pages":"Article 501686"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147390998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Satisfaction associated with gender-affirming hormone therapy 与性别确认激素治疗相关的满意度。
IF 1.8 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-03-01 Epub Date: 2026-02-05 DOI: 10.1016/j.endien.2026.501688
Lucía Estévez Asensio , Esther Delgado García , Marina Gómez Andrés , María Samaniego Montoro , Antonia Maniega Rubio , Carmen Fernández Rodríguez , Ruth González Collantes , María José Bartolomé Albistegui , Marta Alonso Mesonero , Ana Belén Casas Marcos , Daniel A. de Luis Román , Emilia Gómez Hoyos

Introduction

Gender Affirming Hormone Therapy (GAHT) improves psychological well-being and certain quality-of-life parameters. Nevertheless, the satisfaction perceived by individuals undergoing this treatment remains unclear. The aim of this study was to assess such satisfaction using the Spanish adaptation of the received treatment satisfaction scale (CRES-4).

Material and methods

Cross-sectional observational study among transgender individuals who had been receiving GAHT for >1 year and had not undergone genital reassignment surgery. Participants were recruited from a Transgender Medicine Unit between January 2014 and January 2023. Demographic and clinical data were collected, along with responses to the CRES-4 scale. Statistical analysis performed using SPSS-V-23.

Results

Out of the 83 subjects included, 52 (62.7%) were identified as transgender men and 31 (37.3%) as transgender women. The median age at initiation of GAHT was 19 [17–25] years, with a median treatment duration of 3 [1.75–4] years at the time of evaluation. 95% of participants reported being satisfied with GAHT and 75% noted an improvement in the “perceived problem solution” domain. Emotional well-being improved markedly, with 68% reporting an acceptable emotional state after GAHT, compared to 9% before starting treatment. Satisfaction was not significantly associated with treatment duration, psychological comorbidity, age at initiation, non-genital gender-affirming surgeries or type of hormone therapy (feminizing vs. masculinizing).

Conclusions

Most transgender individuals reported high levels of satisfaction with GAHT when provided as part of comprehensive biopsychosocial care. The therapy improved emotional well-being and enhanced perceptions of problem resolution.
性别确认激素疗法(GAHT)改善心理健康和某些生活质量参数。然而,接受这种治疗的个体所感受到的满足感尚不清楚。本研究的目的是使用西班牙语接受治疗满意度量表(CRES-4)来评估这种满意度。材料和方法:横断面观察性研究,研究对象为接受GAHT治疗10年以上且未接受生殖器重置手术的变性人。参与者在2014年1月至2023年1月期间从跨性别医学单位招募。收集了人口统计学和临床数据,以及对CRES-4量表的反应。使用SPSS-V-23进行统计分析。结果:在纳入的83名受试者中,52名(62.7%)被确定为变性男性,31名(37.3%)被确定为变性女性。接受GAHT治疗的中位年龄为19[17-25]岁,评估时的中位治疗时间为3[1.75-4]年。95%的参与者报告对GAHT感到满意,75%的人注意到“感知问题解决方案”领域的改善。情绪健康显著改善,68%的人报告在GAHT后情绪状态可接受,而开始治疗前只有9%。满意度与治疗时间、心理合并症、开始治疗的年龄、非生殖器性别确认手术或激素治疗类型(女性化与男性化)没有显著相关。结论:大多数跨性别者报告说,当将GAHT作为综合生物心理社会护理的一部分时,他们对GAHT的满意度很高。这种疗法改善了情绪健康,增强了对问题解决的感知。
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引用次数: 0
Pituitary apoplexy: lessons from the Spanish registry for clinical stratification supported by advanced imaging 垂体性中风:来自西班牙临床分层登记的经验教训,由先进的影像学支持。
IF 1.8 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-03-01 Epub Date: 2026-03-07 DOI: 10.1016/j.endien.2026.501779
Betina Biagetti
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引用次数: 0
期刊
Endocrinologia Diabetes Y Nutricion
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