Endocrine Abstracts

In the presented case, an 85-year-old female patient with bipolar disorder exhibited significant endocrine complications, including hyperparathyroidism and diabetes insipidus, which were strongly associated with long-term lithium therapy. The resolution of these complications following the discontinuation of lithium and the transition to an alternative mood stabilizer underscores several important clinical implications. Firstly, this case highlights the need for vigilant monit...

This case report highlights an unusual side effect of hypophosphatemia linked to Abacavir; a medication commonly used in the treatment of HIV. A 36-year-old male patient was referred to the endocrine team due to persistent hypophosphatemia while receiving Abacavir for his HIV management. Extensive investigations, including assessments of calcium levels Urea and Electrolytes, parathyroid hormone (PTH), Vitamin D, serum magnesium, and serum cortisol and fibroblast growth factor ...

Case History: We present a case of a 52-year-old female with a history of right adrenalectomy at age 30, insulin-dependent Type 2 diabetes, and atypical clinical manifestations mimicking acromegaly. The patient presented with a five-year history of worsening facial appearance, blurry vision, and a noticeable hunch in the back. Notably, she had undergone right adrenalectomy for an adenoma in the past and had never received steroid therapy post-surgery. Despite presenting with f...

We present a case of a 45-year-old female referred from cardiology with a history of blackouts and palpitations. Initial investigations by GP revealed T-wave changes on ECG, prompting further evaluations, including 24-hour Holter ECG and echocardiogram. Despite extensive cardiac investigations, the patient’s symptoms persisted, leading to referral to the endocrine clinic. The patient reported frequent episodes of hypoglycaemias-associated symptoms such as excessive eating...

Diabetes mellitus (DM) is a prevalent chronic disease often diagnosed through routine screening or the manifestation of typical symptoms like polyuria and polydipsia. However, it is rare for diabetic neuropathic complications, such as foot ulcers, to be the initial presentation, especially in the absence of other medical conditions. This case report discusses a 53-year-old female who presented with a neuropathic foot ulcer, leading to the diagnosis of Type 2 Diabetes Mellitus ...

Introduction: Obstructive Sleep Apnoea (OSA) is more common in women with Polycystic Ovary Syndrome (PCOS). There is paucity of data regarding the impact of OSA in women with PCOS.Methods: We conducted a retrospective study using electronic patients’ records of premenopausal women with PCOS who were first seen in the weight management clinic (WMC) between March/2008 and November/2014. PCOS diagnosis was documented either by referring clinician or es...

Background: Obstructive sleep apnoea (OSA) and polycystic ovary syndrome (PCOS) are associated with significant comorbidities and commonly coexist. The primary aim of this study was to examine the relationship between OSA and quality of life (QoL) in women with PCOS.Study design: Observational cross-sectional study.Methods: Women with PCOS were recruited from a single secondary care centre in the UK. PCOS was diagnosed according to...

Background: From population studies, short and long sleep duration are associated with obesity. This association has not been studied in patients with type 2 diabetes (T2D).Methods: Design: Cross-sectional study of adult T2D patients recruited randomly from outpatient department of a large UK tertiary centre. Patients with known sleep-related disorders were excluded. Data were collected during one-to-one interviews. Sleep duration assessment: 7-day sleep...