Endocrine Abstracts

This is a case of a 48-year-old lady initially referred to respiratory clinic with symptoms of breathlessness. She had a high-resolution CT thorax where an incidental finding of a right para-oesophageal 2.4-cm soft tissue density at the level of the thyroid gland identified. A CT neck was performed for further evaluation again showed the soft tissue mass (26 mm×37 mm) situated to the right of the oesophagus and another mass (16 mm×26 mm) left of the oesophagus. Discu...

The British Thyroid Association executive committee advised in 2015 that there was insufficient evidence that levothyroxine(T4) and liothyronine(T3) combination therapy was superior to levothyroxine monotherapy, which remains the standard treatment of primary hypothyroidism. It was considered an experimental approach in symptomatic patients on T4 therapy with a TSH level within normal range.We present a 47-year-old lady who had been diagnosed with primar...

Although there are no formal diagnostic criteria, reactive hypoglycaemia is a term generally used to describe hypoglycaemia occurring within a few hours after meal intake where other causes of hypoglycaemia such as medications, cortisol deficiency and insulinoma have been excluded. Although this is considered a benign, easily managed condition here we present three cases of reactive hypoglycaemia with significant debilitating symptoms. The first case is a 26-year-old man who w...