Endocrine Abstracts

Introduction: Dilated cardiomyopathy is an uncommon, but well recognized, manifestation of thyrotoxicosis. However, hyperthyroidism presenting with dilated cardiomyopathy is very rare. We describe an unusual case of dilated cardiomyopathy as the initial manifestation of Graves’ hyperthyroidism.Case: A 61-year-old man of Malaysian origin, with no significant past medical history, was admitted with two month history of worsening shortness of breath, o...

Case: We are describing a case of 57-year-old gentleman who initially presented to gastroenterology clinic with iron deficiency anaemia (Hb – 11, Ferritin – 5) and 2 stone weight loss. An OGD was performed which demonstrated a polypoidal tumor in the distal body of stomach. Histology proved it to be carcinoid tumor. Staging CT thorax/abdomen showed marked gastric rugal thickening involving the fundus and body of the stomach with no extra mural spread, nodal disease o...

Introduction: Testosterone treatment can improve symptoms in hypogonadal men with depression. It is also known to induce aggressive behaviour hypomania and even mania. When patients with bipolar disorder and hypogonadism present with manic symptoms it is particularly difficult to decide whether testosterone should be discontinued or not during manic phase of the illness.Case: A 39 years old Caucasian man was diagnosed with isolated hypogonadotropic hypog...

Introduction: Heparin induced thrombocytopenia (HIT), a complication of heparin therapy, is a reaction that is triggered by the immune system in response to heparin and causes thrombocytopenia. In this report, we describe an unusual case of HIT induced bilateral adrenal haemorrhage with resultant hypoadrenalism.Case: A 60-year-old Caucasian man was admitted with ascending cholangitis secondary to gallstone and underwent an emergency laparoscopic cholecys...