Searchable abstracts of presentations at key conferences in endocrinology

ea0069p71 | Poster Presentations | SFENCC2020

Metastatic clear cell renal carcinoma with initial presentation of thyroid mass

Balafshan Tala , Rubab Umme , Kalathil Dhanya

Case history: A 70 year old man presented with a six month history of sore throat and dysphagia. His past medical history included Type 2 diabetes and dysarthria due to tracheomalacia following tracheostomy at the age of 40 when he was involved in a road traffic collision. Initially he was diagnosed with gastroesophageal reflux, but symptoms did not settle with proton pump inhibitor medication. He as therefore referred to the ENT team for further evaluation.<p class="abste...

ea0044p237 | Thyroid | SFEBES2016

Management and investigations of woman with hypothyroidism before and during pregnancy in a joint Medical/Obstetric clinic a DGH

Balafshan Tala , Chattington Paula , Llewellyn Oliver

Maternal thyroid hormones play a critical role in foetal brain development in the first 12 weeks of gestation. Children born to hypothyroid mothers, especially those undertreated, are more likely to suffer lower IQ. Based on BES guidance 2007 and NICE 2011 at confirmation of pregnancy a woman with hypothyroidism should immediately increase the dose of levothyroxine by 25–50 mcg with aim TSH of less than 2.5 mu/l as soon as possible with monitoring of TFT every 4 weeks.</p...

ea0065p49 | Adrenal and Cardiovascular | SFEBES2019

An interesting case of acute hypoadrenalism following an intervention to treat bleeding splenic artery pseudoaneurysm by thrombin injection

Balafshan Tala , Sharma Dushyant , Hegde Pallavi , Purewal Tejpal

Background: Evidence shows relative adrenal insufficiency is one of the complications known to be associated with major procedures such as cardiopulmonary bypass surgery or critical illness. This is the first case we are presenting someone with acute hypoadrenalism following post thrombin injection to treat pheudoaneurysms.Case: We present an interesting case of 55 years old man with known decompensated alcoholic liver disease with oesophageal varices, p...

ea0094p14 | Adrenal and Cardiovascular | SFEBES2023

Evaluation of inpatient hyponatremia: if formal recognition (coding) of hyponatremia makes a difference in management and outcomes

Aung Ei Thuzar , Balafshan Tala , Bujawansa Sumudu , Narayanan Ram Prakash

Introduction: Hyponatremia is a common electrolyte disorder in clinical practice. We did a retrospective analysis of 100 patients admitted between Jan 2019 to June 2019 with moderate hyponatremia (Na-125-129 mmol/l) to see if there was a difference in management and outcome of the patients who were formally coded as hyponatremia and those who were not coded as such.Results: Mean age was 74 years in the coded group (n...

ea0099p480 | Diabetes, Obesity, Metabolism and Nutrition | ECE2024

Tolvaptan fortnightly can reduce hyponatraemia related inpatient admissions

Chaudhary Aparna , Sullivan Heather , Balafshan Tala , Prakash Narayanan Ram

Hyponatremia generally defined as a serum sodium of less than 135 mmol/l is the most common type of electrolyte imbalance found in older adults. Its mild to moderate forms can predispose patients to falls, fatigue and a general decline. Severe hyponatremia can contribute to seizures, confusion and death. We present a case of a 70-year-old lady with severe symptomatic chronic hyponatremia secondary to SIADH. She also had progressive Alzheimer’s dementia, anxiety, T1DM, hyp...

ea0086p39 | Bone and Calcium | SFEBES2022

An unusual case of severe hypercalcaemia due to treatment resistant Graves’ disease

Thuzar Aung Ei , Sheokand Ajasra , Prakash Narayanan Ram , Balafshan Tala , McNulty Sid , Furlong Niall , Bujawansa Sumudu

A 32-years-old lady was admitted with raised calcium. She had palpitation, sweating, 3 stones weight loss and neck swelling. She was diagnosed with Graves’ disease 5 months ago. Her mother had history of thyroid disease but no family history of hypercalcaemia. She had a small goitre and lid lag on examination. On admission, adjusted calcium was 3.04 mmol/l. PTH was < 0.5 pmol/l. Phosphate, vitamin-D, kidney functions, cortisol, myeloma screen and ACE levels ...

ea0086p341 | Metabolism, Obesity and Diabetes | SFEBES2022

New onset diabetes triggered by use of growth hormone secretogogue for body building, a case report

Thuzar Aung Ei , Sheokand Ajasra , Westall Samuel , Balafshan Tala , Prakash Narayanan Ram , Bujawansa Sumudu

Introduction: Growth hormone secretogogues (GHS) are popular among body building communities as muscle bulking agents. We present an interesting case of new onset diabetes induced by a combination of GHS and selective androgen receptor modulators (SARMs).Case report: A 34-years body builder was referred by his GP due to a 3-week history of polyuria, polydipsia and fatigue. He had recently used one cycle of a combination tablet which contained Ibutamoren ...

ea0065p304 | Neuroendocrinology | SFEBES2019

Pituitary imaging in mild hyperprolactinaemia

Balafshan Tala , Ahmed Ibrar , Zaidi Reza , Hegde Pallavi , Sharma Dushyant , Purewal Tejpal

Background: Hyperprolactinaemia is a common presentation in endocrine clinics. Current guidelines on BMJ best practice recommend evaluation with MRI only if levels are >2000 mU/l or absence of an identifiable secondary cause.Aim: To identify if pituitary pathology would go undetected if pituitary imaging is not performed and determine a suitable threshold for performing pituitary imaging in the diagnosis of prolactinoma.Methods: A ...

ea0065p411 | Thyroid | SFEBES2019

Levothyroxine dosage in hypothyroid pregnancies – our experience in a tertiary care hospital T Balafshan, T S Purewal, E Finch, A Tang, D Kalathil Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool Women’s NHS Foundation Trust

Balafshan Tala , Finch Enna Lisa , Purewal Tejpal , Tang Ai-Wei , Kalathil Dhanya

Background: Severe maternal hypothyroidism during pregnancy may be associated with delayed development and lower IQ in the foetus. BES (2007) and NICE (2011) guidelines recommend maintaining TSH<2.5 mU/l with monitoring of maternal thyroid function test (TFT) 4 weekly, especially in the first trimester.Aim and methods: A retrospective study on all pregnant women with established hypothyroidism attending the Joint Antenatal Clinic (JANC) at Liverpool ...

ea0082oc8 | Oral Communications | SFEEU2022

Familial dysalbuminaemic hyperthyroxinaemia, a rare cause of discordant TFTs

Thuzar Aung Ei , Kohli Shuchi , Prakash Narayanan Ram , Furlong Niall , McNulty Sid , Bujawansa Sumudu , Westall Samuel , Hurst Janine , Balafshan Tala

Section 1: Case history: A 61-year-old lady was referred by her GP to our endocrine clinic with abnormal thyroid function tests (TFTs) incidentally identified in routine blood tests. She had no symptoms suggestive of thyrotoxicosis apart from occasional palpitations when using inhalers for asthma. She had no family history of endocrine significance. She was on salbutamol, salmeterol, fluticasone inhalers and laxatives. Physical examination was unremarkable with no goitre. ...