Searchable abstracts of presentations at key conferences in endocrinology

ea0091cb25 | Additional Cases | SFEEU2023


Dhevi Krishnasamy Ganapathy Kavitha , Basu Ansu

38 year female presented to the endocrine clinic with palpitations. On further questioning she reported weight loss, diarrhoea but normal menstrual cycles. She was diagnosed in September 2022 with thyrotoxicosis in a country outside UK and was commenced on carbimazole 20 mg once daily. Blood investigations in September 2022- TSH 0.02 serum FT4 31.0 FT3 8.17). Bloods repeated by GP 4 months later after arrival in UK, showed the following: Serum TSH 23.45, serum T4 1.20, serum T...

ea0041ep164 | Calcium and Vitamin D metabolism | ECE2016

4D-CT parathyroid increases the likelihood of localising parathyroid adenoma in patients with primary hyperparathyroidism and indeterminate Tc99m-Sestamibi+I-123 subtraction scan

Lee Brian , Pandit Manish , Basu Ansu

Introduction: Tc99m-Sestamibi+I-123 subtraction using planar and SPECT-CT is commonly used to investigate PHPT. Our centre previously published sensitivity and specificity of 92 and 86% respectively for Tc99m-Sestamibi+I-123 subtraction. Five false-negative studies required neck exploratory surgery. One false-positive study incorrectly localised a PA which was not found in surgery (n=67). In recent years 4D-CT parathyroid has emerged as a useful technique to detect an...

ea0059p078 | Clinical practice, governance & case reports | SFEBES2018

An audit of vitamin D supplementation in pregnancy in an ante-natal centre in Birmingham

Yamanouchi Liana , Srinivasan Maheshwari , Basu Ansu

Background: Approximately a third of pregnant women in the UK are Vitamin D deficient, which may confer deleterious consequences, including an increased risk of pre-eclampsia, gestational diabetes mellitus, and intrauterine growth restriction. Vitamin D supplementation in pregnancy has shown to be beneficial, including a reduced risk of pre-eclampsia and pre-term birth, compared to placebo. This audit investigated the extent to which women attending an ante-natal centre adhere...

ea0031p284 | Pituitary | SFEBES2013

Hypopituitarism with visual field loss is not always an adenoma

Farooq Umar , Raja Umar , Basu Ansu

Introduction: A biochemical profile of an underactive pituitary gland allied to visual field loss is commonly due to an underlying adenoma. We report a case where such a clinical picture was found but imaging/biopsy revealed a different cause.Case report: A 52-year-old Indian male was referred by his GP to an endocrine outpatient department with reduced visual acuity, balance problems and a biochemical profile of an underactive pituitary gland. Past hist...

ea0031p378 | Thyroid | SFEBES2013

Not all raised T4 needed treatment!

Raja U Y , Kapadi Tauseef , Basu Ansu

Introduction: Thyrotoxicosis is a common condition referred to endocrine clinics. However, not all of them needed treatment with antithyroid medications. We report a case of thyroid hormone resistance due to a novel TSHRβ mutation who has been treated with subtotal thyroidectomy and antithyroid medications due to raised T4 levels.Case report: A 38-year-old south Asian woman was seen in orthopaedic clinic for elective right foot scarf oste...

ea0028p105 | Clinical practice/governance and case reports | SFEBES2012

Diagnostic dilemmas in patients presenting with large adrenal masses – 2 case reports

Mathew Anna , Kennedy Amy , Basu Ansu , De Parijat

The presentation of a patient with an adrenal tumour often causes diagnostic difficulty for the endocrinologist. Adrenal tumours are rare occurrences, particularly when large in size. We present two cases, where large adrenal tumours were found in inpatients on CT scanning and discuss the difficulties which arose in each case when attempting to obtain a definitive diagnosis. Case 1 A 38 year old Bangladeshi woman was being investigated for fevers, sweats and pancytopaenia. She...

ea0044oc3.3 | Thyroid and Neoplasia | SFEBES2016

Post-Radioiodine Graves’ Management: The Pragma-Study

Perros Petros , Dayan Colin , Vaidya Bijay , Williams Graham , Lazarus John H , Hickey Janis , Willis Debbie , Archer Natasha , Franklyn Jayne , Basu Ansu

Introduction: Radioiodine (RI) is a safe and effective treatment for Graves’ disease. In the months following RI different strategies are used to gain control of thyroid status, although there is no evidence base as to the optimal approach.Objectives: To compare the incidence of dysthyroidism post-RI between three principal management strategies employed by clinicians.Study design and methods: Retrospective, observational, mul...