Endocrine Abstracts

Introduction: Primary hyperaldosteronism classically presents with hypertension and hypokalaemia, though many may be normokalaemic. It is most commonly caused by bilateral adrenal hyperplasia, while 30-40% have a unilateral adenoma or nodule. Aldosterone renin ratio (ARR) is performed, with confirmatory testing if required plus adrenal CT to identify an adrenal lesion. Adrenal venous sampling (AVS) distinguishes between unilateral and bilateral disease. Unilateral adrenalectom...

Case history: A 41-year-old female presenting with abdominal pain and melaena, was found to have a left adrenal incidentaloma on her abdominal CT. Her past medical history included polycystic ovaries, menstrual irregularity, fibromyalgia and gallstones. Medications on presentation were lansoprazole and dihydrocodeine only. On further questioning, she was experiencing hair loss, proximal muscle weakness, bruising and striae, weight changes and low mood.In...

Aims: The aim of this project was to conduct a service review of phaeochromocytoma management and to benchmark local practice against national guidelines and recommendations defined in the ‘Getting It Right First Time’ (GIRFT) national report.Methods: Electronic patient records were searched for patients referred to our centre, within our catchment area and from peripheral centres, with phaeochromocytoma between 2017 to February 2023. ...