Endocrine Abstracts

Background: Thyroid storm is a rare but dangerous condition which can lead to multi-organ failure if not treated aggressively. Currently accepted treatment is with anti-thyroid medications to convert patients to a euthyroid state before definitive treatment with thyroidectomy is performed 10–14 days later. We present a case that was managed medically for several months due to a delay in surgery for clinical reasons. At present there are few such cases in the literature.</...

Insulinoma is a rare but potentially treatable cause of hypoglycaemia. We present a case where achieving a diagnosis of insulinoma was complicated by evidence of low serum insulin levels during documented biochemical hypoglycaemia.A 58 year old lady presented with weight gain and daily episodes of shaking, hot flushes and disorientation that were relieved by the ingestion of food. During symptomatic episodes home capillary blood glucose measurements sugg...

Prolonged use of oral corticosteroid treatment is associated with cushingoid side effects and HPA suppression. We are increasingly seeing similar problems associated with nasal steroid therapy.Case 1: A 41-year-old lady with history of asthma, allergic rhinitis and nasal polyps presented with a clinical appearance of Cushings syndrome. Her medication included Becloforte inhalers 250 mg tds and Betamethasone sodium phosphate nasal drops 0.1% 2 drops bd, b...