Endocrine Abstracts

Targets such as the ‘18 week wait’ may help reduce diagnostic and treatment delay. However, we report two cases of supposed non-classic congenital adrenal hyperplasia (CAH) that perhaps highlight the benefit of time and hindsight as diagnostic tools.Case 1 A previously unknown 61-year-old contacted our department requesting alternatives to biphosphonate therapy. ‘Mild’ CAH had been diagnosed in 1974 on the basis of elevated urinary 17...

A 39 yr-old female with a past medical history of a non-metastatic ductal breast carcinoma, presented to hospital with a two-week history of vomiting and dizziness. Clinical examination was essentially normal apart from pigmentation of her mastectomy scar, palmar creases and buccal mucosa. Investigations revealed a plasma sodium (Na) 102 mmol/l, potassium 4.9 mmol/l, plasma osmolality 219 mOsm/kg, urine osmolality 173 mOsm/kg and urine Na 36 mmol/kg. She was treated with fluid...

RP (a 60 yr-old male) was found to have multiple atrial myxomata, whilst being investigated for recurrent attacks of amaurosis fugax affecting his left eye. During the preceding twenty years he had undergone repeated resections of cutaneous tumours, which were reported as neurofibromata. A clinical diagnosis of Carney Complex (CNC) was made based on the presence of multiple cutaneous nodules and atrial myxomata. RP displayed mild acromegalic features, but no pigmentation abnor...