Endocrine Abstracts

Introduction: Sitosterolemia is a rare lipid disorder characterised by excessive accumulation of phytosterols in the body. There are fewer than 110 cases worldwide, and to our knowledge, there are no reported cases of adult Sitosterolemia from South-East Asia. We report our experience in diagnosing a middle-aged Chinese lady from Singapore with Sitosterolemia.Case Report: A 45-year-old Chinese lady was referred to the Endocrinology clinic in Oct 2022 by ...

Background: Primary adrenal insufficiency due to adrenal hemorrhage from anti-phospholipid syndrome (APS) is an uncommon and life threatening disorder. We present a case, highlighting the challenges in the diagnosis and management of this disorder.Case presentation: A 59-year-old Chinese lady presented with a 2-year history of bilateral flank pain, lethargy, poor appetite and weight loss. Initial blood investigations were unremarkable except for a choles...

Introduction: Panhypopituitarism is a known but rare presentation of lymphoproliferative disease. We describe a patient with newly diagnosed advanced diffuse large B-cell lymphoma who presented with anterior hypopituitarism and concomitant adrenal gland involvement.Case report: A 72 year-old Chinese woman presented with a few weeks’ duration of lethargy, weight loss and functional decline. A hormonal screen done at admission suggested central hypoth...

Background: Bariatric surgery has been shown to decrease insulin requirements even before significant weight loss has occurred. We report a patient with marked improvement in glycemic control despite modest weight loss post bariatric surgery.Case presentation: A 47 years old Chinese man with obesity (weight 90 kg, BMI 31.2), hypertension, hyperlipidemia and type 2 diabetes mellitus diagnosed in 2005 is on follow up with our endocrine clinic. Despite comp...