Endocrine Abstracts

A 74-year-old male presented with acute onset retro-orbital pain and nausea. He also complained of blurred vision and inability to open his left eye. There was no family history and the only past medical history was hypercholesterolemia treated with simvastatin. Clinical examination revealed a complete left ptosis, the left pupil was dilated with sluggish reaction to light and there was impaired adduction of the left eye. Visual fields and visual acuity were normal. Examinatio...

A 20 year old male presented with short stature (height below 3rd centile for age since aged 13 years) and lack of secondary sexual characteristics. Past history included repaired Fallot’s Tetralogy, sensorineural deafness, repaired cleft lip and palate, learning difficulties, possible unilateral coloboma, and surgery for undescended testes. There was no significant family history. Clinical examination revealed a BMI of 22.7 (height 1.68 m, weight 64 kg). He had a narrow ...

A 75-year-old female presented with increasing drowsiness and no other specific features. Past medical history included the antiphospholipid syndrome, three episodes of myocardial infarction, left ischaemic leg, epilepsy, hypothyroidism and splenectomy. Medications included warfarin. Examination showed pulse 70/min, blood pressure 120/60 mmHg, crepitations at the left lung base, a Glasgow Coma Scale 14/15. Investigations revealed serum sodium 117 mmol/l, urea 8.8 mmol/l, serum...

Adrenal haemorrhage is rarely associated with anticoagulation according to a large American series. We present 2 cases in whom there was no evidence of over anticoagulation, both of whom developed a degree of hypoadrenalism.Case 1: A 72-year-old-male presented with severe non-pleuritic left flank pain. He had been seen the previous day with possible deep venous thrombosis (DVT) and had received a single dose of enoxaparin (1.5 mg/kg). He was tender in th...

Hypoadrenalism and bilateral adrenal haemorrhage are rare manifestations of lymphoma. We present a case of diffuse large B cell non-Hodgkins lymphoma (NHL) in whom the main manifestations of relapse included hypoadrenalism and then bilateral adrenal haemorrhage.A 75-year-old male presented with a 2-week history of severe left sided abdominal pain. He was known to have NHL predominantly involving the right maxillary sinus, which had been treated with chem...