Searchable abstracts of presentations at key conferences in endocrinology

ea0077p22 | Adrenal and Cardiovascular | SFEBES2021

Searching for a new PAL

Iftikhar Sahar , Bingham Emma

Primary adrenal lymphoma is an extremely rare type of lymphoma. There have been only about 200 cases described in the literature so far. About a half of patients can present with adrenal insufficiency. We report a case of a 70- year-old previously fit and well patient referred to Endocrinology services after a CT scan of her adrenal showed bilateral adrenal masses right measuring 6 cm and left measuring 9 cm. CT was performed as she complained of 9 kilograms weight loss in las...

ea0059ep6 | Adrenal and steroids | SFEBES2018

How reliable are regular menses as a guide to endocrine health?

Bawlchhim Zosanglura , Bingham Emma

Background: Birth control is widely encouraged to prevent unwanted pregnancies and around two-third of women use contraception. Prescribed contraceptives may result in amenorrhoea or withdrawal bleeds which can mask the initial symptoms of many endocrine disorders delaying diagnosis and treatment.Case Summary: A 43-year old Filipino female nurse was referred for headache, uncontrolled hypertension, weight gain, hirsutism and acne with raised serum testos...

ea0031p90 | Clinical practice/governance and case reports | SFEBES2013

An unusual case of pancreatitis: a case report

Goodall Victoria , Bingham Emma

A previously fit and well 49-year-old gentleman presented to hospital with vomiting and myalgia. Three weeks previously he had been admitted with acute pancreatitis, but no cause was found. An incidental hypercalcaemia was also noted at that time. He had lost approximately two stone in weight in the previous three months and had become more short of breath on exertion. He had a strong family history for type I diabetes mellitus, but otherwise there was no significant history.<...

ea0019p22 | Clinical practice/governance and case reports | SFEBES2009

‘Health supplements’ – not always good for your health!

Krishnan Binu , Bingham Emma

A 20-year-old gentleman with an established diagnosis of Chronic fatigue syndrome was admitted to hospital with palpitations and shortness of breath on exertion. He had been taking ‘healthy supplements’ for his ME for a year. On examination, he was noted to be tachycardic with a heart rate of 120–150 beats/minute. ECG confirmed sinus tachycardia. Further investigations revealed a free thyroxine (fT4) of 29.4 pmol/l and thyroid stimulating hormone (TSH...

ea0018oc3 | (1) | MES2008

An unusual case of hypertension

Krishnan Binu , Bingham Emma

A 21-year-old female patient was referred from the eye clinic after she was noted to have bilateral papilloedema during a routine eye examination. She gave a 3 months history of intermittent headaches and fleeting episodes of profuse sweating and rash, unrelated to the headaches. She had been investigated by the GP with routine blood tests which were found to be normal.On examination, she was noted to be tachycardic at 100 beats/min and hypertensive at 1...

ea0077lb4 | Late Breaking | SFEBES2021

Not your regular incidentaloma

Iftikhar Sahar , Mukhtar Rasha , Bingham Emma

Adrenal Leiomyomas are very rare tumours. 20 cases have been reported to date. Their management remains difficult and challenging. They tend to present with flank or abdominal pain and have very little biochemical activity, if any.Case presentation: We present a case of a young 44 year old female. She was referred to Endocrinology services with a history of 2 weeks abdominal pain. She underwent an ultrasound organised in primary care which was suspicious...

ea0038p475 | Thyroid | SFEBES2015

A disputable but effective therapy in neutropenia associated with Graves’ disease

Kurera Isuri , Beebeejaun Mehjabeen , Bingham Emma

Various haematological abnormalities have been reported to be associated with treatment of hyperthyroidism. The Association between neutropenia and untreated hyperthyroidism has been described although the aetiology is unknown, but thought to be related to autoimmunity.Case: A 41 year old Nepalese lady presented with a three month history of poor sleep and loss of weight. She was found to be thyrotocxic with T4 of 64 mol/l (10–24), T...

ea0013p300 | Thyroid | SFEBES2007

Chronic leg rash in Graves disease, not always pretibial myxedema

Pusalkar Pawan , Tringham Jenny , Bingham Emma

We describe a case of 38 year old female of Indian origin who presented with symptoms of Graves disease to our clinic. She had a diffusely enlarged goitre and minimal eye signs. Her T4 was 62 pmol/L(9–24), T3 9 pmol/L(3.5–6.5), and TSH was <0.01 mu/L (0.3–5.0). Radioactive iodine uptake scan revealed the presence of increased uptake throughout the gland. She was treated with carbimazole for 18 months and is in remission at present.Abou...

ea0012p57 | Endocrine tumours and neoplasia | SFE2006

Parathyroid carcinoma - consider it in a subset of presumed adenomas

Pusalkar Pawan , Tringham Jenny , Bingham Emma

We describe a case of parathyroid carcinoma which is a rare, yet important cause of primary hyperparathyroidism.A 22 year old soldier was referred by army medical officer because of abnormal blood test results. He gave a history of weight loss of about 10 kg, increasing shortness of breath and malaise for 1 month prior to presentation. His past medical history was unremarkable, he was a non smoker and did not drink alcohol. He was not on any regular trea...

ea0034p402 | Thyroid | SFEBES2014

Severe transient hyperthyroidism and Wernicke's encephalopathy in a lady with hyperemesis gravidarum

Beebeejaun Mehjabeen , Meade Susanna , Bingham Emma , Coyle Frances , Tringham Jennifer

Transient mild hyperthyroidism is fairly common in women with hyperemesis gravidarum, occurring in up to two-thirds of them. It is also a well known fact that pregnant women with severe hyperemesis gravidarum can progress to develop Wernicke’s encephalopathy. Hyperthyroidism, without any other risk factors, has been described to accelerate the process of thiamine depletion as well. This is much less recognised.We describe the case of a 32-year-old P...