Endocrine Abstracts

Ketosis-prone, Jamaica (J) type diabetes is an uncommon form of diabetes described in a sub-population of mainly Afro-Caribbean patients who often present acutely with diabetic ketoacidosis (DKA) but during follow up demonstrate clinical, metabolic, and immunologic features of Type II diabetes. We present such a case.A 37-year old Afro-Caribbean man with a family history of Type II diabetes presented with polyuria, polydipsia and weight loss. He was over...

Introduction: All stages of diabetic nephropathy are independent risk factors for cardiovascular disease in patients with diabetes. Intensive intervention to achieve target glycaemic control, blood pressure and cholesterol can minimise cardiovascular risk, mainly by reducing proteinuria.Aims: To compare two cohorts of patients, group A, attending a nurse-led clinic in addition to the traditional diabetes renal clinic and group B attending the latter only...

Background: Rapidly progressive hirsuitism or virilization raises the suspicion of an androgen-secreting tumour. Adrenal tumours are usually ruled out by hormonal testing and imaging studies. Small virilizing ovarian tumours may not be detectable by imaging studies.Case 1: A 66 year-old woman presented with 4 year history of hirsutism and virilization. She had a history of longstanding uterine bleeding secondary to fibroids. Investigations revealed raise...

Background: Pregnancy after complete loss of hypophyseal function is rare. Complete lack of ovarian stimulation by FSH and LH results in anovulation and atrophy of the ovaries. We report a patient with panhypopituitirism who achieved pregnancy and delivery through in vitro fertilization (IVF) and embryo transfer (ET).Case: A 35 year-old lady had undergone four trans-sphenoidal hypophesectomy operations, at 12, 13, 23 and 26 years of age, for recur...

65-year-old lady presents to GP with 3-month history of fatigue, weight loss and nausea with background of stable Chronic Lymphocytic Leukaemia (CLL). GP started Levothyroxine 25 mg OD due to low T4 of 5.9 pmol/l (12-22) and low TSH of 0.25 mU/l (0.27-4.2). As she continued to feel tired, random cortisol was requested which was low at 25nmol/l leading to admission. Admission cortisol was 55nmol/l with an inappropriately normal ACTH of 11.6 ng/l (7.2-63.3). Pituitary profile sh...