Endocrine Abstracts

Case history: A 35-year-old female presented to a district general hospital with convulsive status epilepticus. In the two weeks preceding the seizure, she complained of migrainous-type headaches, transient aphasia and ataxia. Her general practitioner organised a confusion screen, revealing hypothyroidism and commenced levothyroxine 50 μg. She had no other medical history and denied illicit drug use or alcohol-excess. Examination revealed mild pyrexia (38.2°C), clonu...

Case history: A 45-year-old female with a background of depression presented with asthma exacerbation. She was taking paroxetine and mirtazapine for depression. Over the preceding six months the patient’s asthma control had deteriorated, resulting in overuse of inhaled beclometasone. On questioning, the patient reported a four stone weight gain in four months with generalised weakness, dizziness and fatigue during simple activities. On examination, the patient appeared ov...

A 57 year-old gentleman with uncomplicated Type 2 Diabetes Mellitus and 30 pack year smoking history was assessed in outpatient endocrinology clinic with a 4 month history of non-specific symptoms, including dizziness, lack of energy and intermittent bi-frontal headaches described as ‘pressure behind the eyes’. There was no history of exogenous steroid use. Bloods at 0833 h identified deficiency in testosterone (<1 nmol/l; N= 6–30 nmol/l), thyroxine...