Endocrine Abstracts

Case history: A 33 year old lady with irregular menstrual cycles and infertility presented to gynaecologist with recurrent abdominal pain and bloating. Her pain was found secondary to bilateral ovarian cysts. She had repeated laparoscopic ovarian cystectomies since 2018. In December 2021, modest hyperprolactinemia (1065MIU/L, RR 102-496) with negative macroprolactin test was noted, and MRI pituitary revealed 18x17x13mm pituitary macroadenoma. Cabergoline was started and she wa...

Aim: If ‘0’minute salivary cortisol (SALCORT_0) or cortisone (SALCONE_0) can predict normal post-synacthen cortisol response.Method: Baseline salivary sample was collected for 110 patients who had short synacthen test (SST) between 09:00 and 10:00 after hydrocortisone withdrawal for at least 24-hour. SST was labelled ‘pass’ if 30-minute serum cortisol was >450 nmol/l. Serum cortisol was measured by immunoassay whereas salivary cor...