Endocrine Abstracts

Background: During the first wave of the COVID pandemic a large proportion of diabetic clinics and services were reduced or postponed, combined with a move to telephone consultations for GPs. Diabetic nurse specialists were also re-deployed from regular inpatient services. Additionally, patients were reluctant to seek out healthcare services either due to the risk of contracting COVID or not wanting to place unnecessary stress on the healthcare services....

Background: Leptospirosis is an endemic zoonosis in the Philippines, with complications including jaundice from liver injury and acute kidney injury requiring renal replacement therapy. On the other hand, thyroid storm, most commonly in the setting of Graves’s disease, is a rare complication of hyperthyroidism. To date, thyroid storm has not been documented in patients with severe leptospirosis.Case Presentation: Herein, we present the case of a 52-...

A 24-year-old woman presented at 33 weeks gestation with severe left-sided abdominal pain and orthopnoea. Ventilation-perfusion scan demonstrated two segmental mismatched defects consistent with bilateral pulmonary embolism. Anticoagulation with enoxaparin was commenced. MRI abdomen, carried out in view of abdominal pain, revealed a 4.5 cm left adrenal mass containing a fluid level. Appearances were in keeping with acute left adrenal haemorrhage. Imp...

A 24-year-old woman presented at 33 weeks gestation with severe left-sided abdominal pain and orthopnoea. Ventilation-perfusion scan demonstrated two segmental mismatched defects consistent with bilateral pulmonary embolism. Anticoagulation with enoxaparin was commenced. MRI abdomen, carried out in view of abdominal pain, revealed a 4.5 cm left adrenal mass containing a fluid level. Appearances were in keeping with acute left adrenal haemorrhage. Imp...

Introduction: The tyrosine kinase inhibitor (TKI) lenvatinib, used in radioiodine-refractory differentiated thyroid cancer, is usually well-tolerated. However, severe side effects can occur. We describe a life-threatening complication under lenvatinib, followed by a challenging treatment with levothyroxine (LT4).Case Report: A 62-year-old man was diagnosed with a bone-metastasized Hurthle cell thyroid carcinoma (pT3N0M1). He underwent a total thyroidecto...

A 70 year-old male with a long standing history of IgG kappa paraproteinemia presented with sudden onset of confusional state. His friend had noticed short term memory lapses, behavioural changes, increased aggression and agitation for the last 3 months. He had developed proximal muscle weakness and pain. He was admitted to the hospital. He had no history of alcohol abuse, smoking or illicit drug use. He was not on any medication. He was under haematology surveillance for his ...

Case report: Von Hippel-Lindau Disease (VHL) is an autosomal-dominant disease with almost complete penetrance, characterized by the development of several types of neoplasia. Non-functioning pancreatic neuroendocrine tumours (pNETs) are part of the syndrome in up to 16% of the patients. A 36 year old female with a known diagnosis of VHL (Mutation exon 3) was under surveillance. She had previous surgeries twice for haemangioblastomas, and an adrenalectomy for phaeochromocytoma ...

A 69 year old man presented to the hospital after he fell from a 6 foot ladder. He was previously fit and well with no co-morbidities apart from a 55 pack year smoking history. He complained of right shoulder and hip pain. CT scan revealed fractures of the left 6th rib and right superior and inferior pubic rami. In addition, there was an incidental finding of a 5.2 cm in diameter abdominal aortic aneurysm (AAA) with no radiological evidence of a leak. He was treated conservati...

A 24-year-old traffic warden was initially referred to the neurology department with episodes of “funny turns” over the past 7 years. Without warning she would become dizzy and lightheaded with blurring of vision and weak legs. These symptoms would resolve after ingesting something sweet but the relief of her symptoms was not immediate. The episodes could happen at any time of the day but never first thing in the morning and could happen several times a week. She rep...

Decrum’s disease or adiposis dolorasa is a rare progressive syndrome of unknown aetiology. It is characterised by painful fatty deposits, general obesity, weakness and unexplained emotional disturbance.1We describe a case of a 55-year-old man who presented with pneumonia. On examination he was noted to be overweight and have multiple skin nodules. His chest X-ray was abnormal; he underwent further workup with a CT thorax/abdomen/pelvis. T...