Endocrine Abstracts

An 82-year-old lady admitted after multiple episodes of collapse and her blood sugar levels were noted to be less than 2.0 mmol/l. A supervised controlled fasting test was performed and results were consistent with Insulinoma. Imaging revealed a mass in the tail of the pancreas with metastasis to the liver. Liver biopsy confirmed the diagnosis of a poorly differentiated neuroendocrine tumour. She continued to have hypoglycaemic episodes which were difficult to manage. Dietary ...

Background: A 73-year-old female presented to the hospital with a 3-day history of right upper quadrant abdominal pain and episodes of vomiting. Her past medical history included insulin treated Type 2 diabetes diabetes, deep venous thrombosis for which she was on rivaroxaban, COPD, right leg angioplasty and previous p-ANCA vasculitis. She also had flank tenderness and was noted to be hypertensive with a blood pressure of 225/93mmHg. A CT scan of the abdomen identified a new 4...

Case PresentationA 25-year-old lady presented with symptomatic hyperthyroidism. She had a 4–6-week history of unexplained weight loss, pain in her neck and difficulty swallowing. Bloods confirmed mild hyperthyroidism with TSH 0.19 mU/l (reference range 0.27-4.2) with free T4 24.4 pmol/l (reference range 12.0-22.0), and she was commenced on carbimazole. There was no evidence of inflammation with CRP < 1 mg/l. Her mother had a thyroidectom...