Searchable abstracts of presentations at key conferences in endocrinology

ea0029p16 | Adrenal cortex | ICEECE2012

Cyclical Cushing’s syndrome masquerading as Polycystic Ovarian Syndrome – pitfalls in diagnosis

Bukowczan J. , Kane P. , Nag S.

Introduction: We present a case of probable cyclical Cushing’s syndrome (CS) masquerading as polycystic ovarian syndrome (PCOS) which went undetected for almost a decade. Our case highlights the subtleties and complexities of interpreting diagnostic tests in patients with cyclical endogenous hypercorticolism.Case: A 33-year old female with presumed PCOS presented with a seven year history of persistent hirsutism and acne. However there was no menstr...

ea0029p201 | Calcium & Vitamin D metabolism | ICEECE2012

Gitelman’s syndrome presenting with hypercalcaemia due to severe primary hyperparathyroidism

Bukowczan J. , Swiecicka A. , Siddaramaiah N. , Arutchelvam V.

Introduction: The combination of hypokalemia and hypercalcaemia is uncommon but potentially lethal. In primary hyperparthyroidism hypokalaemia most commonly occurs due to incomplete distal renal tubular acidosis. We present the first case of simultaneous primary hyperparathyroidism with Gitelman’s syndrome resulting in profound electrolyte imbalance.Case: A 48-year old man, referred with hypokalaemia (2.5 mmol/l) presented with a short history of ex...

ea0029p1386 | Pituitary Clinical | ICEECE2012

Management of giant cystic invasive prolactinoma-the role of medical therapy revisited

Bukowczan J. , Kane P. , Nag S.

Introduction: Giant prolactinomas are uncommon tumours and typically exceed 40 mm. These tumours are locally invasive but still respond to dopamine agonist therapy. The medical management of cystic giant prolactinomas with dopamine agonists is controversial as the non-solid components of these aggressive tumours are believed to respond poorly to drug therapy. We present a case of a giant cystic invasive prolactinoma masquerading as a multilobular schwannoma that was successful...

ea0029p108 | Adrenal cortex | ICEECE2012

A case of HIV presenting as primary adrenal lymphoma

Swiecicka A. , Siddaramaiah N. , Bukowczan J. , Ashwell S. , Mukhtar R. , Arutchelvam V.

Introduction: Non-Hodgkin’s lymphoma is an AIDS defining malignancy. However, a primary adrenal lymphoma as a presenting feature of HIV infection has not been previously reported.Case Report: A 66-year-old male presented with a short history of severe fatigue, weight loss, dizziness and nausea. Baseline blood results revealed normal biochemistry with mild normocytic anaemia, neutropaenia with lymphopaenia and the short synacthen test demonstrated in...