Searchable abstracts of presentations at key conferences in endocrinology

ea0062p11 | Poster Presentations | EU2019

A rare case of co-existing Thyroid Hormone Resistance and Graves’ disease

Houlford Ben , Sheil Kim , Chong Jimmy

Case history: A 52 year old lady presented to her GP with a 2 year history of headaches, anxiety and loose stools. The GP found lid retraction and fine tremor but no goitre. Her heart rate was 100. Her GP sent blood for thyroid function tests and results showed a TSH of <0.03 mu/l and free T3 of >30.8 pmol/l. She was started on propranolol 40mg thrice daily and referred to endocrinology. In clinic she described palpitations whilst watching TV and sweatiness. She had su...

ea0048wc1 | Workshop C: Disorders of the thyroid gland | SFEEU2017

Thyroid resistence

Silveira Maria , Bhutt Nouman , Chong Jimmy

Abstract learning objective: Resistance to thyroid hormone is a rare condition caused by tissue refractiveness to the effects of circulating thyroid and may be misdiagnosed as hyperthyroidism. This syndrome is characterized by elevated circulating thyroid hormones, and unsuppressed TSH levels. Although most patients are euthyroid, rarely they may present with clinical hyperthyroidism, if the Pituitary gland is more insensitive than other tissues to thyroid hormones.<p clas...

ea0031p117 | Clinical practice/governance and case reports | SFEBES2013

Clinical practice hyperaldosteronism: a misleading adrenal tumor

Verlekar Pankaj , Norris Andrea , Chong Jimmy

Background: A 58-year-old male known to have hypertension since 2002 was initially treated with Furosemide and Bendroflumethiazide but was stopped due to hypokalemia. Blood pressure was controlled with Ramipril, Atenolol, Doxazocin and Amlodepine. He was found to be persistently hypokalemia ranging from 2.7 to 3.3 mmol/l.Investigations: Aldosterone: 250 ng/l, renin: <2.3 mU/l, aldosterone:renin ratio: >108, 24 h urine catecholamines×2: norma...

ea0013p18 | Clinical practice/governance and case reports | SFEBES2007

Isolated ACTH deficiency presenting twenty two years after radiotherapy for nasopharyngeal carcinoma

Rajasekaran Senthil , Chong Jimmy SW LI Voon

A 67 y old man was brought to the A & E department after being found unresponsive. He was drowsy, hypotensive (BP 90/ 60 mmHg) and had low blood glucose of 1.2 mmol/L. Serum Na was 126 mmol/l (135–145) and K 3.5 mmol/L (3.5–5.0). CXR showed a left basal consolidation. Intravenous 10% dextrose and antibiotics were given. Twenty two years prior, he was diagnosed with squamous cell carcinoma of nasal septum associated with nodal involvement in the neck. He underwent...

ea00100p35 | Poster Presentations | SFEEU2024

A case of an adrenal incidentaloma leading to a diagnosis of pituitary cushing’s!

Harrison Georgia , Alington Katherine , Chong Jimmy

Case history: A 41-year-old female presenting with abdominal pain and melaena, was found to have a left adrenal incidentaloma on her abdominal CT. Her past medical history included polycystic ovaries, menstrual irregularity, fibromyalgia and gallstones. Medications on presentation were lansoprazole and dihydrocodeine only. On further questioning, she was experiencing hair loss, proximal muscle weakness, bruising and striae, weight changes and low mood.In...

ea0028p95 | Clinical practice/governance and case reports | SFEBES2012

Recurrent atypical adrenocorticotrophic hormone (ACTH) secreting carcinoid tumour causing Cushing’s syndrome

Mlawa Gideon , Lambert Kimberley , Norris Andrea , Li Voon Chong Jimmy

Background: Atypical carcinoid tumours are rare which account for about 15% of all carcinoid tumours. Some of those tumours secrete adrenocorticotrophic hormone (ACTH) causing Cushing's syndrome. We present a case which recurred 16 years after being first diagnosed.Case: A 39 years old woman was referred with few months history of weight gain, irregular menstrual periods, muscle aches, difficult going up the stairs, headaches and blurred vision.She was i...

ea0059ep66 | Neoplasia, cancer &amp; late effects | SFEBES2018

Rapid onset hirsuitism in a post menopausal woman with an ovarian cyst

Parsad Meenakshi , Rao Faizan , LLoyd Tishena , Chong Jimmy SW Li Voon

Sertoli-Leydig cell tumours are rare comprising 0.2–1.2% of all primary ovarian cancers. Virilisation is seen in 30–50% of cases. Heterologous Sertoli-Leydig cell tumours with dominant cystic component are even rarer and mainly affect females aged 20 to 30 years. A 66-year-old lady was referred to the Endocrine Department with a one year history of rapid severe hirsutism involving the limbs, abdomen, chest, face and thinning of hair on the scalp. Blood pressure of 15...

ea0091p16 | Poster Presentations | SFEEU2023

Oncocytic parathyroid adenoma presenting with refractory hypercalcaemia and multiple incidental Brown tumours

Azman Nur , Munisamy Narmadha , Le Carpentier Dana , Syed Maria , Spraggs Paul , Li Voon Chong Jimmy , Lambert Kimberley , Parsad Meenakshi

Case History: A 61-year-old Caucasian female from Ukraine presented with severe hypercalcaemia following routine blood tests performed by the GP. She reported symptoms of back pain and joint pains. She had renal stones 10 years prior. No history of thiazide or lithium use. No red flags; no change in appetite or weight loss. There was no familial history of Multiple Endocrine Neoplasia (MEN). Examination of her neck, cardiorespiratory, abdomen and breasts were normal. <p cl...