Endocrine Abstracts

Case history: A 49-year-old male was readmitted with asymptomatic hypercalcaemia and renal impairment following a recent admission where he was diagnosed and commenced on treatment for miliary tuberculosis. He was on month 6 of standard anti-tuberculous therapy (ATT) and one month off glucocorticoids commenced for CNS-involvement. High dose cholecalciferol was started on initial admission when he was found to be normocalcaemic but vitamin-D deficient, and continued. The clinic...

Case history: A 69-year-old female was referred acutely from the community with 4 weeks of progressive breathlessness. Initially exertional, she was now also breathless at rest with orthopnoea and paroxysmal nocturnal dyspnoea. She had a background of antibody-positive thyrotoxicosis diagnosed 33 years ago, managed solely in primary care on carbimazole 20 mg, with good compliance. On examination, she was dyspnoeic with an irregularly-irregular tachycardia and fine tremor to th...

Background: Carbohydrate loading is used to manage the neurovisceral attacks of the acute porphyrias. This presents difficulty when treating those with altered glucose homeostasis.Case history: A 17-year-old female presented with 5 days of abdominal pain and vomiting, her third acute presentation in eight months; the first with a seizure and second with bilateral lower limb weakness. All attendances were preceded by redu...

Section 1: Case history: A 23-year-old female presented to the Emergency Department with a 3-month history of intermittent chest pain and palpitations. She was found to be hypokalaemic and hypocalcaemic. On direct-questioning she reported 3 weeks of perioral paraesthesia and muscle spasms. She had an unrestricted diet and no other personal or family history of note. She was normotensive with a sinus tachycardia and normal QT-interval, Chvostek’s negative, with no features...