Endocrine Abstracts

Gynaecomastia in elderly males is relatively common and could be due to age-related endocrinological and metabolic disorders, drugs and other medical conditions. We report on the case of a 72 year old male smoker who presented with a 10 month history of painful unilateral gynaecomastia, lethargy and weight-loss. He had a past medical history of type 2 diabetes, atrial fibrillation, ischaemic heart disease, hypertension, stroke and monoclonal gammopathy. He was taking Clopidogr...

A 91year-old woman was admitted after collapsing at home. She was an ex-smoker with history of chronic obstructive airway disease (COAD), atrial fibrillation , osteoporosis and colonic polyps. On examination, she had clinical signs of chest infection with normal blood pressure and no significant postural drop .Blood glucose was 2.6 millimoles pre litre on admission. Further serial plasma glucose estimations revealed persistant fasting hypoglycaemia( 1.9 to 2.6 millimoles per l...

Laparoscopic adrenalectomy has become increasingly popular because of its minimally invasive nature for managing benign pathologies of the adrenals and isolated adrenal metastases, but selection of cases suitable for this surgical procedure is very important.We report a 61 year old lady who presented with symptoms of easy bruising, flushing, hoarse voice, weight gain and proximal muscle weakness. On examination, she was had moon facies, skin bruising and was hypertensive. ...