Endocrine Abstracts

Case history: A 34 year old Chinese male was referred by GP as routine blood test which was done as part of investigation for ongoing hair loss that revealed hypocalcaemia. Patient was asymptomatic with no tingling sensation, numbness or anaesthesia. There was no history of carpopedal spasm, muscle pain or cramps. He does not give any history of symptoms suggestive of malabsorption. His PMH include Mild asthma and Eczema for which he was not on any regular medication. Social h...

Pheochromocytoma crises are uncommon but have high mortality. We describe herein a case where multidisciplinary team management was crucial in safely carrying the patient through such a crisis. The patient was a 63 year old lady with a background of neurofibromatosis type 1 (NF-1), and previous renal artery stenosis bypass surgery. She was admitted via A&E with increasingly frequent episodes of sweating, headache, dyspnoea and palpitations. Her troponin was raised at admis...

Adrenal insufficiency is serious, life-threatening condition. Classical features include nausea, malaise, weight loss and hypotension. It is usually diagnosed at a late stage only when it presents as adrenal crisis. We report a patient with autoimmune adrenal insufficiency who presented with chronic hyponatremia and a repeatedly normal serum cortisol level. A 66-year-old female was referred to endocrinology with a 12-month history of hyponatraemia (Na 125–131 mmol/l). She...