Endocrine Abstracts

Adrenal incidentalomas are increasingly recognised with the use of abdominal imaging with prevalence ranging from 0.35-0.45%. The vast majority of these are benign adrenocortical adenomas. Increasingly, subclinical hypercortisolism is recognised in such cases.We describe a case of a 34-year-old asymptomatic primigravida with chance recognition of an adrenal mass during an obstetric ultrasound. Biochemical testing revealed consistently normal urinary catecholamine and eleva...

Infection with HIV may be complicated by hypoinsulinaemic hypoglycaemia. We report, for the first time, a case of hyperinsulinaemic hypoglycaemia in a pregnant woman with HIV. A 30 year old patient was diagnosed to have AIDS during the 8th week of her fourth pregnancy and was commenced on standard antiretroviral therapy. At 27 weeks of pregnancy she presented with a grand mal seizure and was found to be hypoglycaemic with venous blood glucose of 1.2mmol/L with inappropriately ...

Infection with HIV may be complicated by hypoinsulinaemic hypoglycaemia. We report, for the first time, a case of hyperinsulinaemic hypoglycaemia in a pregnant woman with HIV. A 30 year old patient was diagnosed to have AIDS during the 8th week of her fourth pregnancy and was commenced on standard antiretroviral therapy. At 27 weeks of pregnancy she presented with a grand mal seizure and was found to be hypoglycaemic with venous blood glucose of 1.2mmol/L with inappropriately ...

A 45-year-old man presented with sudden onset left sided pleuritic chest pain and breathlessness. He was hypotensive and severely hypoxic and was admitted to the Intensive Care Unit. A chest X-ray was normal and an urgent computerised tomographic (CT) pulmonary angiogram showed the presence of extensive pulmonary emboli. The CT scan also showed bilateral adrenal “incidentalomas” with the right one being 8 cm and the left 6 cm in its longest dimension. He responded we...