Searchable abstracts of presentations at key conferences in endocrinology

ea0028p64 | Clinical practice/governance and case reports | SFEBES2012

Danazol falsely elevates oestradiol levels in a woman with ovarian failure

Devine K , Freel E , Perry C

A 29 year old woman with multiply-relapsed Hodgkin’s lymphoma became amenorrhoeic with vasomotor menopausal symptoms following multiple cycles of chemotherapy. Subsequent biochemistry confirmed primary gonadal failure (LH 30.7 U/L, FSH 49.9 U/L, oestradiol <70 pmol/L). Following allogeneic bone marrow transplantation she developed severe haemolytic anaemia and thrombocytopenia. This was resistant to standard therapies, including methylprednisolone, mycophenolate mofet...

ea0021p403 | Thyroid | SFEBES2009

123I uptake scanning after radioiodine treatment for thyrotoxicosis prevents delayed diagnosis of radioiodine induced hypothyroidism

Murray Eleanor , Foulis Doreen , Freel E Marie

Radioactive iodine is a common and effective treatment for hyperthyroidism. Post radio-iodine hypothyroidism is a frequent complication occurring in ~80% of radioiodine treated patients. This can be diagnosed clinically (by monitoring free T4 and TSH levels) but, in our centre, a 123I uptake scan 6 weeks after therapy is sometimes used to help predict the likelihood of future hypothyroidism. In these situations, thyroxine therapy can be started if radioio...

ea0007p289 | Clinical case reports | BES2004

A case of non-classical 11-beta hydroxylase deficiency

Freel E , Wallace M , Fraser R , Davies E , Connell J

A 33 year old male was referred with poorly controlled hypertension. He gave no other past medical or family history. Despite therapy with multiple agents blood pressure was poorly controlled at 200/130 mm/Hg. Initial investigations which included renal ultrasound, magnetic resonance angiography and urine catecholamine excretion were all negative. Plasma renin concentration was suppressed (1 mu/ml/L, normal range 5 to 50) and plasma aldosterone was raised at 650 pmol/L (normal...

ea0049gp58 | Cardiovascular &amp; Lipid Endocrinology | ECE2017

Circulating levels of miR24-1 cluster microRNAs are increased in primary aldosteronism

van Kralingen Josie , Anderson Cali , Freel E. Marie , Connell John M. , MacKenzie Scott M. , Davies Eleanor

Introduction: Measurement of microRNA (miRNA) in aldosterone-producing adenoma (APA) tissue from primary aldosteronism (PA) patients show levels of the miR24-1 cluster miRNAs (i.e. miRNAs 24-1, 27b and 23b) are significantly reduced relative to normal adrenal tissue. Our previous studies also show that miRNA-24 directly targets CYP11B2 (aldosterone synthase) gene expression. Circulating miRNAs released into the bloodstream may be diagnostic biomarkers or signalling mo...

ea0059p013 | Adrenal and steroids | SFEBES2018

Adrenalectomy for removal of adrenal incidentalomas: are we being too cautious? A Retrospective Database Analysis

Harte Rachael , Hamilton Jane , Perry Colin , Watson Carol , Freel E Marie

Objective: Incidentally discovered adrenal masses (‘incidentalomas’) are found in 2% of the population. Adrenalectomy is necessary only in a small proportion of such subjects as outlined by the relevant ESE/ENSAT guideline1. However, uncertainty exists over the need for removal of lesions between 4 and 6 cm and those with low lipid content on CT scanning (found in 20% of benign adenomas). Our centre tends to offer surgery for all adenomas >4 cm.<p ...

ea0059p021 | Adrenal and steroids | SFEBES2018

Does a 60 minute sample in addition to a 30 minute sample for cortisol in the Short Synacthen Test alter patient management?

Campbell Karen , Galloway Iona , Grant Donna , Smith Frances , Tough Jillian , Freel E Marie

Aim: The short Synacthen test (SST) is an established test used to assess the hypothalamic-pituitary-adrenal axis. There remains debate whether a 30 minute or 60 minute cortisol sample has diagnostic superiority. Currently at the Queen Elizabeth University Hospital, Glasgow all tests arranged by endocrinology are performed by endocrine nurse specialists who utilise a 0 and 30 minute cortisol protocol. Performing a further 60 minute sample requires more nursing time and space r...

ea0031p160 | Neoplasia, cancer and late effects | SFEBES2013

Adjuvant use of 131I-MIBG in phaeochromocytoma and paraganglioma at high risk of malignancy

Rutherford Matthew A , Rankin Alastair , Yates Michael , Reed Nicholas , Freel E Marie

Phaeochromocytomas (Phaeo) and paragangliomas (PGL) are rare catecholamine producing tumours. It can be difficult to predict their malignant potential and patients can sometimes present with metastatic disease many years after their original diagnosis (1). Therefore, we offer a single dose of adjuvant 131I-Metaiodobenzylguanidine (131I-MIBG) to subjects felt to be at higher risk of local recurrence (demonstration of capsular or vascular invasion on pathol...

ea0025p178 | Endocrine tumours and neoplasia | SFEBES2011

Metastatic insulinoma treated by transhepatic arterial embolisation

Freel E Marie , McDougall Claire , Campbell Karen , Grant Donna , Kasthuri Ram , Reed Nicholas

A 64-year-old man (HM) was admitted to our local hospital with transient dysarthria and right hemiparesis; formal blood glucose was 2.2 mmol/l on admission. During his in-patient stay, he had frequent episodes of hypoglycaemia. Further questioning revealed a 4 week history of recurring dizzy spells which improved on eating.Cerebral imaging and adrenal function were normal and so the patient underwent further investigations (summarised below) which confir...

ea0025p290 | Steroids | SFEBES2011

Urinary tetrahydroaldosterone excretion is determined by rising urinary sodium excretion in patients with chronic kidney disease

McQuarrie Emily , Mark Patrick , Fraser Robert , Davies Eleanor , Connell John , Freel E Marie

Aim: In chronic kidney disease (CKD) elevated aldosterone (Aldo) levels are a poor prognostic indicator, particularly in the context of a high dietary sodium intake, through unclear mechanisms. Blockade of the mineralocorticoid receptor (MR) improves surrogate patient outcomes. We hypothesised that regulation of aldosterone biosynthesis is disordered in CKD and aimed to compare this in a cohort of patients with CKD with subjects with essential hypertension (EH).<p class="a...

ea0021p203 | Endocrine tumours and neoplasia | SFEBES2009

Adrenal venous sampling for catcholamines- a normal value study

Freel E Marie , Stanson Anthony , Thompson Geoffrey , Grant Clive , Farley David , Richards Melanie , Young William

Context: Phaeochromocytomas are rare, but potentially fatal, neoplasms. The diagnosis and localization of phaeochromocytoma can be challenging and recently there has been some debate regarding the role for adrenal venous sampling (AVS). The utility of AVS in this setting is hampered by a lack of normative value data for adrenal vein catecholamine concentrations and the reliability of lateralization ratios. We sought to address these concerns by analyzing AVS catecholamine conc...