Searchable abstracts of presentations at key conferences in endocrinology

ea0091p38 | Poster Presentations | SFEEU2023

Beneficial side effects: A case of difficult hyperthyroidism treated with Lithium

Acosta Allan , Hameed Ali

A case of a 48-year-old lady who is under follow-up in the clinic at Causeway Hospital, Northern Ireland for hyperthyroidism. She has a medical history of SLE under follow-up Rheumatologists and bronchial asthma. She presented with palpitations, tremors, sweating, and heat intolerance. On examination, the patient appears anxious. Blood pressure was 130/80, PR 140, RR 20, T 37, SPO2 98% A. Her eye examination revealed no lid lag, exophthalmos, and no redness. Examination of the...

ea0048cp9 | Poster Presentations | SFEEU2017

Searching for the cause of high HCG in a man

Hameed Ali , Sembatya Joseph , Bano Gul

We present a 50-year-old man who was referred to endocrine clinic with painful gynaecomastia of 3 months duration. He was waiting hip replacement. He had history of a lump in his left breast 9 years ago. He had USS and FNA. He was treated with some tablets for a month and discharged from breast clinic. He had no other past medical history. He worked as a physical trainer to metropolitan police. He did not smoke or drink and was on no medication. He had never used recreational ...

ea0048cp26 | Poster Presentations | SFEEU2017

Rapid preoperative preparation of patients with thyrotoxicosis

Sembatya Joseph , Hameed Ali , Bano Gul

Thyroidectomy is a definitive form of treatment for patients with hyperthyroid Graves’ disease particularly those who are noncompliant with or have serious side effects to the antithyroid drugs, have very large goitres, refuse 131I therapy or, have moderate to severe ophthalmopathy. The risk of perioperative thyroid storm is usually higher following an acute event such as surgery, trauma, or infection. Thus, patients with thyrotoxicosis presenting for surgery should ideal...

ea0056p107 | Clinical case reports - Thyroid/Others | ECE2018

Searching for the cause of high HCG in a man

Rehman Tejhmal , Hameed Ali , Bano Gul

Beta-human chorionic gonadotropin (β-hCG) is normally produced by syncytiotrophoblasts of the placenta and may also be secreted by germ cell neoplasms. An increase of serum hCG concentration in a male patient often suggests malignant neoplasms with a trophoblastic element. Common examples include classic seminoma with syncytiotrophoblast-like giant cells, combined germ cell tumour, and choriocarcinoma. Non-gestational choriocarcinomas typically arise from gonadal...

ea0055oc1 | National Clinical Cases | SFEEU2018

Testosterone secreting clear cell ovarian tumor in a patient with Von Hippel Lindau (VHL) disease

Rehman Tejhmal , Hameed Ali , Snape Katie , Hodgson Shirley , Bano Gul

The VHL gene is a tumor suppressor gene located on chromosome 3p25.3. Mutations in this gene prevent production of the VHL protein and as a result, cells grow and divide uncontrollably to form the tumors and cysts. Germline VHL gene mutations predispose to a variety of tumors, most commonly retinal and cerebellar haemangioblastomas, renal cell carcinoma and phaeochromocytoma. Papillary cystadenomas of the epidididymis are seen in 10–26% of men are rarely...

ea0055p11 | Poster Presentations | SFEEU2018

A challenging case of rapidly enlarging thyroid mass

Rehman Tejhmal , Hameed Ali , Kim Dae , Pettengell Ruth , Bano Gul

A 60 year old Caucasian woman presented with a three month history of rapidly enlarging neck swelling and hoarseness of voice. Her past medical history included Hypothyroidism. Her neck ultrasound scans showed 3.5 cm left thyroid nodule with bilateral lymphadenopathy (U5). The Fine needle aspiration (FNA) revealed densely grouped variable sized irregular epithelial cells with nuclear atypia and spindle shaped fragments with focal areas of lymphocytic thyroiditis. The different...

ea0104p205 | Thyroid | SFEIES24

Selenium prescribing for thyroid eye disease in NI – the exponential rise

Aamir Shahzad Muhammad , Nugent Ailish , Hunter Amy , Lewis Anthony , Loughrey Ben , Ahmed Doua , Casey Geraldine , McHenry Claire , Courtney Hamish , Wallace Helen , Wallace Ian , Lindsay John , Darrat Milad , Johnston Philip , Haq Rizwan , D'Arcy Robert , Kamalarajah Sri , Hunter Steven , White Steven , Graham Una , McNabb Bernadette , McElwaine Fred , McMullan Paul , Harper Roy , Elhassan Samah , Shakeel Majeed Muhammad , Mustafa Shaikh Ghulam , Neely Andrew , Todd Anna , Sandhu Farooq , Smyth Jayna , Bradley Una , McConnell Mae , Kennedy Adele , Hameed Ali , Hamill Connor , Rooney Des , McKeever Edward , McCracken Emma , Black Neil , Kelly Rhys , Cartmill Barry , Bonanos Efstathios , Gordon Aileen , Woodside Jayne , Mullan Karen

Selenium (Se) supplementation is recommended by the European Group (EUGOGO) for mildly active TED (200 mg/day for six-months) based on a seminal RCT which reported slowing of disease progression vs placebo. Treatment in Se deficient geographical areas may be particularly important. We recently reported Se deficiency in a cohort of 240 pregnant women in NI. The TEAMeD-NI group was set up in 2019 as part of the UK-wide quality improvement program to take a proactive approach to ...