Searchable abstracts of presentations at key conferences in endocrinology

ea0086p310 | Adrenal and Cardiovascular | SFEBES2022

Pheochromocytoma masquerading as acute coronary syndrome

Awadelkareem Abuzar , Elsaify Wael , Nag Sath , Ashwell Simon , Mohammed Azmi

Pheochromocytoma is a rare catecholamine-secreting tumor. It is potentially curable but can cause life-threatening hypertension or cardiac arrhythmias. We report a 58- years- old woman with no significant past medical history who was admitted through the emergency department with complaints of chest pain, palpitation, and nausea. She reported six months history of episodic palpitation and throbbing headaches, sometimes associated with light-headedness and dizziness. Hence, she...

ea0091wd8 | Workshop D: Disorders of the adrenal gland | SFEEU2023

Can serum ACTH level be reliably interpreted in the diagnostic work-up for Cushing in adrenal incidentalomas?

Iqbal Khan Irfan , Awadelkareem Abuzar , Napier Catherine , Mamoojee Yaasir

Diagnostic work-up for Cushing Syndrome (CS) can be challenging and is based on clinical and biochemical assessment. Biochemical evidence of endogenous steroid excess is demonstrated through overnight dexamethasone suppression test (ODST), low dose dexamethasone suppression test and/or 24-hour urinary free cortisol estimation (UFC). Once endogenous steroid excess is confirmed, random serum ACTH measurement is key in determining the suspected source of steroid excess: ACTH-inde...

ea0091cb34 | Additional Cases | SFEEU2023

Immunotherapy induced Thyrotoxicosis and adrenal insufficiency

Awadelkareem Abuzar , Khan Irfan , Hnin Thanda , Shekar Nitin , Asam Muhammad , Masinghe Sanjana

Introduction: Immune-checkpoint inhibitors are used in patients with advanced cancers. They are associated with a wide array of side effects known as immune-related adverse events (irAEs). These can affect skin, gastrointestinal tract, multiple endocrine glands, liver and other systems. We report a 69-year-old male with a past medical history of Chronic Obstructive Pulmonary Disease and Lung cancer who was referred by the oncology team with a clinical and biochemical picture o...

ea0094op6.4 | Bone and Calcium | SFEBES2023

HDR syndrome (hypoparathyroidism, deafness and renal dysplasia) Unveiled: A rare cause of profound hypocalcaemia and seizure

Shekar Nitin C. , Kamaruddin Shafie , Chu Guistina , Khan Irfan , Awadelkareem Abuzar

Background: HDR syndrome also known by the eponym Barakat syndrome, is a rare, autosomal dominant disorder characterized by the triad of hypoparathyroidism, sensorineural hearing loss, and renal abnormalities. It is caused due to mutation (haploinsufficiency) in GATA3 gene on chromosome 10p with a wide spectrum of phenotypic variations.Case Presentation: A 33-year-old lady presented to emergency department with an episod...

ea0094p335 | Bone and Calcium | SFEBES2023

Iatrogenic hypercalcaemia in a patient with duchenne muscular dystrophy: a case report highlighting multifactorial aetiology and therapeutic considerations

C. Shekar Nitin , Vanka Ramesh , Jajah Bilal , khan Irfan , Awadelkareem Abuzar , Thanda Hnin

Background: Duchenne muscular dystrophy (DMD) is a progressive muscle disorder characterised by muscle wasting and weakness. It is often associated with intracellular hypercalcaemia in dystrophin deficient muscle leading to disease progression. We present a comprehensive case report of extracellular hypercalcaemia in a DMD patient, a rare complication, emphasising the interplay of iatrogenic factors, immobilisation, and therapeutic approaches.<p class="abs...