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Open access Oct 2026

A dermoid in disguise: An unusual cause of postmenopausal hyperandrogenism: A case report

Background: Hyperandrogenism developing after menopause is an uncommon clinical presentation that warrants careful evaluation to rule out an underlying androgen-secreting neoplasm. Mature cystic teratoma (dermoid cyst) is the most common benign ovarian germ-cell tumour and is conventionally considered hormonally inacti...

Monisha Ghosh, Muhtarima Nur E. Hassen Prodhan, S. Jahan · 0 citations
Open access Oct 2026

The enigma unfolds: ARMC5-associated primary bilateral macronodular adrenal hyperplasia in a young man

Background: Primary bilateral macronodular adrenal hyperplasia (PBMAH) is a rare cause of ACTH-independent Cushing syndrome. Germline pathogenic ARMC5 variants are among the most well-established genetic causes and are associated with variable penetrance and clinical expression. Diagnosis of PBMAH can be difficult and...

N. Akter, Tazkia Nur, Abdullah Al Noman Bhuiyan et al. · 0 citations
Open access Oct 2026

From hormonal failure to fatherhood: Natural conception after targeted endocrine treatment of secondary hypogonadism

Background: Secondary hypogonadism is a potentially reversible cause of male infertility but may remain unrecognized during routine infertility evaluation. Appropriate endocrine assessment and targeted treatment of hypothalamic-pituitary-gonadal dysfunction may restore spermatogenesis and enable biological fatherhood....

Md. Saddam Hossain, S. Jahan · 0 citations
Open access Oct 2026

When the cure became another challenge: A journey from Cushing disease to Nelson syndrome

Background: Nelson syndrome (NS) is an uncommon but serious consequence of bilateral adrenalectomy for Cushing disease (CD), characterized by marked ACTH elevation and progressive hyperpigmentation, with enlargement of the Sella turcica. We present an unusual case of persistent CD complicated by multiple electrolyte an...

S. B. Iliyas, N. Akter, Nur Nahar Begom et al. · 0 citations
Open access Oct 2026

Unmasking tumor-induced osteomalacia: A diagnostic odyssey from ankylosing spondylitis to fibroblast growth factor 23-mediated hypophosphatemia

Background: Tumor-induced osteomalacia is a rare paraneoplastic syndrome caused by autonomous secretion of fibroblast growth factor 23 (FGF23) by occult mesenchymal tumors. Its insidious presentation frequently mimics inflammatory arthropathies, leading to misdirected therapy and severe diagnostic delay. Case summary:...

Rakesh Barshan Chaki, S. Jahan, S. Monisha et al. · 0 citations
Open access Oct 2026

An unusually severe hemorrhagic phenotype leading to prolonged diagnostic delay in PTPN11 variant Noonan syndrome

Background: Noonan syndrome is a RASopathy which carries autosomal dominant inheritance and is characterized by variable phenotypic expression involving craniofacial, cardiovascular, skeletal, hematological, and neurodevelopmental abnormalities. Bleeding manifestations are common and may result from platelet dysfunctio...

Tasnim Nusrat, Md. Latiful Bari, S. Selim et al. · 0 citations

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