Endocrine Abstracts

A 66 year old woman was referred to endocrinology in January 2023 with severe hypercalcaemia of 4.7mmol/ladjusted (2.2-2.6mmol/l) and low normal PTH of 1.8 pmol/l(1.6-6.9 pmol/l). She presented with one week of cough, breathlessness and fatigue, and 3-4 days of nausea and vomiting. She had commenced Furosemide 40 mg for bloating symptoms one month prior. She had a history of breast cancer treated with mastectomy and lymph node clearance in 2019, with subsequent Letrozole (ongo...

Case History: We present a case of a 24 year old music teacher and who attended our medical assessment unit. The gentleman described a twelve day history of neck pain, malaise, and odynophagia having received treatment one month previously for a PVL positive Staphylococcus aureus (PVLSA) lip abscess for which he did not complete eradication therapy. He described associated difficulty swallowing, rigors, vomiting and weight loss. On examination he had a tender, hot goi...

Introduction: Milk-Alkali Syndrome (MAS), also known as Burnett’s syndrome, is a triad of hypercalcemia, acute kidney injury and metabolic alkalosis, traditionally associated with excessive intake of milk and absorbable alkali. With changes in dietary supplements and medical prescriptions, its re-presentation in modern clinical practice has evolved making it the third common cause for hypercalcemia. This abstract presents a unique case of MAS resulting from relatively sup...

Introduction: Osteitis fibrosa cystica (OFC) or brown tumour is a non-neoplastic fibrocystic expansile lytic bone lesion caused due to excess parathormone (PTH). Brown tumour is classically known to occur in severe primary or secondary hyperparathyroidism due to end-stage renal failure with very high PTH level. OFC presenting as a mass due to nutritional vitamin D deficiency (NVD) is exceedingly rare. Case presentation: 47-year-old Caucasian gentleman pr...