Endocrine Abstracts

INTRODUCTION: Disturbance in thyroid function following larygectomy usually manifests as hypothyroidism. Hyperthyroidism is not well recognized. We present a case of transient hyperthyroidism caused by laryngectomy. CASE STUDY: A 58-year-old man underwent total laryngectomy for laryngeal carcinoma. The surgery was not complicated. 3days following surgery, the patient was noted to have sinus tachycardia with a rate between 100 and 110. On the 7th postoperative day thyroid funct...

INTRODUCTION: The main local complications of radioiodine are transient sore thoart and dysphagia and less commonly hoarseness of voice. Laryngeal palsy is extremely rare. We describe a case of right complete laryngeal paralysis complicating a radioiodine therapy for thyrotoxicosis. CASE STUDY: A 73 year old man who suffers from Graves' disease, mild stable Graves' ophthalmopathy and recurrent hyperthyroidism received a second dose of Radioiodine (15 MiliCuries). He presented ...

BACKGROUND: There are wide ethnic differences in women's attitude to the menopause and hormone replacement therapy (HRT). We have surveyed the awareness and attitudes of Libyan women to the menopause and HRT. METHODS: An anonymous self-administered questionnaire on the knowledge and attitudes towards menopause and HRT was used. 353 women were studied (median age 31(20-60) years; 188 married, 157 single and 8 divorced/widowed). Majority had secondary (38%) or university (51%) e...

INTRODUCTION: Brittleness is a well-known phenomenon in patients with type 1 diabetes mellitus (DM). The possibility of a similar theme in the context of Addison's disease is not well established. CASE STUDY: We describe a 22-year-old woman who has had Addison's disease since the age of 9 years and type 1 DM since the age of 18 years. She was admitted with acute medical problems 47 times and attended OPD clinics on 17 occasions in 5 years (1996-2000). Of these, 29 inpatient an...

We describe the case of a 48-year-old woman, who presented with a history of six months' weight gain, easy bruising and difficulty in rising from a seated position. Examination revealed typical clinical features of Cushing's syndrome. She was hypertensive at 150/100 mmHg and diabetic. She was also agitated, emotionally labile, and disinhibited, requiring sedation. Her sister has MEN-1 (hyperparathyroidism and lung carcinoid tumour).Low-dose and high-dose...