Endocrine Abstracts

Background: Turner syndrome is a lifelong condition that requires lifelong engagement with health services. The Paediatric Endocrinologist has a role in developing a plan for transition and establishing follow-up in an adult clinic. A clinic proforma outlining expected investigations during transition has been in use in the Glasgow Turner clinic since 2015 based on the recommendations of the Turner Syndrome Study Group. More recently The Endocrine Society Transition Toolkit ha...

Introduction: A Patient Held Record (PHR) has been developed for use in adolescent girls with Turner Syndrome (TS) attending a dedicated Turner Transition clinic, RHC Glasgow. The PHR has been devised to encourage knowledge of TS; medcial care and ways to maintain good health and to promote self advocacy.Aim: To assess patient acceptability and user friendliness of a PHR in adolescent girls with TS.Method: A PHR and questionnaire w...

Background: A Turner Syndrome (TS) Transition clinic, Royal Hospital for Children Glasgow(RHCG), with paediatric and adult endocrinology/gynaecology teams was set up in 1998.Objective: 1) To evaluate the success of TS transition2) To determine what factors influence long-term follow-up in an adult service – good early attendance in an adult clinic and meeting an adult specialist prior to transfer to adult clinic.<p class="...

We present a commentary based on both history and experiences of the many contributions to steroid biochemistry and endocrinology made in Edinburgh over the past 75 years. Reflections will be made commencing with the contributions of Guy Marrian (1904–1981) and colleagues. Marian, occupied the Chair of Medicine with relation to Medicine (later Medical Biochemistry, then Biochemistry) at Edinburgh University from 1939 until his appointment as Director of the ICRF Laborator...

Background: Effective management of adrenal insufficiency (AI) during sick day episodes requires adjusting oral glucocorticoid therapy or administering intramuscular injections to prevent adrenal crises. Given the critical nature of adrenal crisis management, educating families of young individuals with AI is essential.Aim: To critically appraise patient education concerning adrenal crisis management through a systematic...

Background: Effective management of adrenal insufficiency (AI) during sick day episodes involves adjusting oral glucocorticoid therapy or administering intramuscular injections to prevent adrenal crises. Therefore, educating families of young individuals with AI on emergency management is crucial.Aim: This study aims to critically evaluate online educational materials related to adrenal crisis management. We conducted a ...

The British Society for Paediatric Endocrine and Diabetes (BSPED) published guidance in 2016 on optimal Hormonal Replacement Therapy (HRT) for pubertal induction in Turner Syndrome (TS). Transdermal preparations of oestrogen are the most appropriate method of oestrogen delivery in TS, as it avoids first pass metabolism of the liver, and thereby does not exert a meaningful effect on blood pressure.Objective: To assess change in prescribing practice in acc...

Background: Turner Syndrome (TS) is a complete or partial loss of the second X chromosome affecting approximately 1:2000 females, classically associated with short stature and hypogonadism. Cardiovascular complications in TS include increased risk of congenital cardiac malformations, hypertension, ischaemic heart disease and aortic dissection. Cardiovascular related deaths account for over 40% of the excess mortality in TS and requires lifelong monitoring and follow-up. The Cl...

In 2019, we attended a patient engagement zoom session, hosted by Turner Syndrome Support Society (TSSS), to launch a video illustrating the use of a transdermal patch for pubertal induction in girls with Turner Syndrome (TS). Several girls raised to us that they felt that they did not have a good understanding of puberty, and on why it was important to receive both oestrogen and progesterone preparations during pubertal induction. To target this, we developed an explanatory v...

Gestational diabetes mellitus (GDM) poses multiple risks to both the mother and foetus. This includes foetal macrosomia and the development of type 2 diabetes mellitus (T2DM). Women with polycystic ovary syndrome (PCOS) due to their metabolic profile are at greater risk of developing GDM and its long-term sequelae. This study aimed to investigate the prevalence and associations of GDM at St George’s Hospital, with emphasis on women diagnosed with PCOS. The K2 maternal med...