Clinical Focus


  • Emergency Medicine

Academic Appointments


Honors & Awards


  • UNC Emergency Medicine Administrative Chief Resident, University of North Carolina (2014-15)

Professional Education


  • Residency:University of North Carolina Chapel Hill Hospitals (2015) NC
  • Medical Education:Medical University of South Carolina (2012) SC
  • MPH, Johns Hopkins Bloomberg School of Public Health (2011)

All Publications


  • Higher High-Density Lipoprotein Cholesterol in African-American Women with Polycystic Ovary Syndrome Compared with Caucasian Counterparts JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM Koval, K. W., Setji, T. L., Reyes, E., Brown, A. J. 2010; 95 (9): E49-E53

    Abstract

    Studies have demonstrated lipid differences among African-Americans and Caucasians and between women with polycystic ovary syndrome (PCOS) and normally ovulating women. However, few studies have examined racial differences in lipoprotein levels in women with PCOS.This study compared lipoprotein levels in African-American and Caucasian women with PCOS.We performed a retrospective chart review of 398 subjects seen as new patients for PCOS at the Duke University Medical Center Endocrinology Clinic in Durham, NC.We identified 126 charts appropriate for review, based on a diagnosis of PCOS (using the 1990 National Institutes of Health criteria), a self-reported race of either Caucasian or African-American, and a body mass index (BMI) higher than 25. We excluded patients taking glucophage, oral contraceptives, or lipid-lowering medications.Age, BMI, total cholesterol, high-density lipoprotein (HDL) cholesterol, non-HDL cholesterol, random triglycerides (TG), and oral glucose tolerance test measurements were collected and included in the analysis.African-American women with PCOS had higher HDL cholesterol levels (52.6 vs. 47.5 mg/dl, P = 0.019), lower non-HDL cholesterol (134.1 vs. 154.6 mg/dl, P = 0.046), and lower TG levels (97.5 vs. 168.2 mg/dl, P < 0.001) than Caucasian women. These differences could not be attributed to age, BMI, or differences in insulin resistance as determined by homeostasis model assessment of insulin resistance.African-American women with PCOS appear to have a more favorable lipid profile than Caucasian women with PCOS having higher HDL cholesterol, lower non-HDL cholesterol, and lower TG when BMI and insulin resistance are equal.

    View details for DOI 10.1210/jc.2010-0074

    View details for Web of Science ID 000281640300008

    View details for PubMedID 20534766