mohammad hossein dabbaghmanesh associate professor of internal medicine, endocrine and metabolism research center, nemazee hospital, shiraz university of medical sciences, iran +98-711-6281473, [email protected]; associate professor of internal medicine, endocrine and metabolism research center, nemazee hospital, shiraz university of medical sciences, iran +98-711-6281473, [email protected] gha yousefipour department of neurology, nemazee hospital, shiraz university of medical sciences, iran