Endocrine Abstracts

Introduction: Despite hypothyroidism being seen in patients with kidney disease, it is rarely the underlying cause. We present a rare case of chronic kidney disease (CKD) secondary to severe hypothyroidism that was totally reversed on commencement of Levothyroxine. The mechanism is multifactorial, and importantly involves the pre-renal and direct renal effects of thyroid hormones.Case report: A 37-year-old Caucasian male presented to the endocrine clinic...

Aim to elucidate the factors influencing length of stay (LOS) in patients with hyponatraemia admitted to an acute medical unit (AMU).Methodology: a prospective study of patients admitted to AMU at West Middlesex University Hospital from November 2009 to June 2011. A proforma was completed for each patient by the registrar on his duty days.Results: 70 patients were identified with a mean age of 69.2 years. 41 (59%) were female. 20 (...

Aim: To elicit the factors affecting the severity of Vitamin D deficiency (VDD) in an endocrine outpatient population in a district general hospital.Methodology: A retrospective analysis of serum 25-hydroxy vitamin D levels of all patients known to an endocrine clinic between 1st January 2009 and 30th June 2011. The first vitamin D level within this period was recorded. Other biochemical markers and co-morbidities were also studied.<p class="abstext"...

A 54-year-old female presented to the neurologist in December 2017 with neuromuscular right arm weakness, lethargy and fascial swelling. She had a normal MRI head before being referred to the endocrine clinic with a TSH >125 mIU/l (0.27–4.2 mIU/l). Free T4 was 0.3 pmol/l (12.0–22.0) with a free T3 of <0.4 pmol/l (3.1–6.8). The thyroglobulin antibody was 1366 IU/ml (0–115) with a normal thyroid peroxidase level (TPO) 29.7 (0–34). No previous thy...