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Öğe A case of recurrent silent thyroiditis [Tekrarlayan sessiz tiroidit olgusu](Turkiye Klinikleri, 2011) Ipekci S.; Cakir M.Silent thyroiditis constitutes approximately 1% all of thyroiditis. Rarely, silent thyroiditis can present with recurrent attacks. Here, we present the case of a patient who had four episodes of painless (silent) thyroiditis.Öğe A Difficult Decision-Hashimoto's Thyroiditis or Subacute Thyroiditis? [Zor Bir Karar - Hashimoto Tiroiditi mi Yoksa Subakut Tiroidit mi?](Turkiye Klinikleri, 2011) Ipekci S.; Öztürk K.; Çakir M.Subacute thyroiditis generally presents with pain in the thyroid region, fever, thyrotoxicosis and elevated markers of acute inflammation. On the other hand, Hashimoto's thyroiditis is most frequently diagnosed in the hypothyroid phase with positive antithyroid autoantibodies. Here, we describe the case of a patient who presented with clinical features of subacute thyroiditis but laboratory and pathological features compatible with Hashimoto's thyroiditis. The patient was finally diagnosed with painful Hashimoto's thyroiditis.Öğe Spontaneous remission of acromegaly following subclinical pituitary apoplexy [Subklinik hipofizer apopleksiyi takiben spontan remisyona giren akromegali](Turkiye Klinikleri, 2011) Ipekci S.; Cakir M.Pituitary apoplexy is a rare and sometimes underdiagnosed complication of pituitary adenomas. We present here the case of a patient who was referred to our endocrinology outpatient clinic for his acromegalic appearance. Endocrinological evaluation revealed low basal growth hormone and normal insulin-like growth factor 1 levels, secondary hypothyroidism and adrenal insufficiency. A haemorrhagic adenoma was detected on pituitary MRI scan. In the light of clinical and laboratory evidences, probably, our patient had a previous somatotroph pituitary adenoma which caused acromegaly but further developed subclinical pituitary apoplexy which ended up with hypopituitarism.