Endocrine Abstracts

Thyroid eye disease (TED) affects some 400 000 people in the United Kingdom. Apart from being problematic and cosmetically distressing to patients it can be occasionally sight threatening. The joint TED clinic was first established at the New Cross Hospital in 2010. At this monthly clinic patients are assessed by both an Endocrinology and Ophthalmology consultant. Full orthoptic evaluation is done and the management plan is facilitated by a patient self-assessment questionnair...

There is scant literature on various mental health parameters following treatment of hyperthyroidism. We present our initial results from an ongoing quality improvement project, jointly undertaken by the Endocrinology and Psychiatry teams.Aim: To evaluate anxiety, depression, ability to work and quality of life (QOL) of patients with hyperthyroidism on presentation and after institution of specific therapy.Method: We assessed 68 ne...

Background: Although, the diagnostic accuracy of magnetic resonance imaging (MRI) has increased in recent years, it may fail to detect secretory adenoma in a few patients with GH excess. Managing such patients with acromegaly can be challenging. We present a case where 11C-methionine PET/CT co-registered with SPGR/volume MRI proved to be helpful in identifying GH secreting pituitary adenoma.Case history: A 42-year-old male was referred by surg...

Background: Phaeochromocytoma represents a rare cause of hypercortisolism, accounting for <5% of ectopic Cushing’s syndrome while <1% of phaeochromocytomas are accompanied by Cushing’s syndrome.Case presentation: We present a case of a 51-year-old lady admitted to the surgical ward for bowel surgery for severe long-standing constipation. She was referred to the endocrine team for recent-onset severe hypokalaemia and the presence of left...

Introduction: Hyperthyroidism secondary to Graves’ disease is well-recognised to be associated with non-thyroidal immunological manifestations like ophthalmopathy and pretibial myxoedema. We report a patient with Graves’ disease who presented with an unusual complication.Case: A 68 year old Caucasian lady presented with typical features of hyperthyroidism which was confirmed by free T4 72.0 pmol/l (12.0–22.0 pmol/l) and TSH <0.01 mU/l ...