Searchable abstracts of presentations at key conferences in endocrinology

ea0004p92 | Thyroid | SFE2002

Thyroid lymphoma: not a single entity

Freeman M , Belchetz P

Thyroid lymphoma accounts for <5% of thyroid malignancies. Although it predominantly arises on a background of autoimmune thyroid disease (Hashimoto's thyroiditis), the mode of presentation, diagnosis and outcome are not well characterised.We retrospectively analysed 25 patients presenting with thyroid lymphoma between 1996-2002. Patients were predominantly female (84%) with a mean age of 65yrs and presented with a rapidly growing goitre. A previous h...

ea0003p14 | Clinical Case Reports | BES2002

Pituitary mass and hypopituitarism with Wegeners granulomatosis

Freeman M , Belchetz P

Wegeners granulomatosis involving the pituitary is rare, only a few cases having been reported. Most cases, diagnosed histologically or by response to treatment affect the posterior pituitary and occur in the presence of systemic vasculitis.A histological diagnosis of Wegeners granulomatosis was made in a 51 yr. old female in 1994 after presentation with upper respiratory tract symptoms and collapse of her nasal septum and bridge. At this time, gonadotr...

ea0019p69 | Clinical practice/governance and case reports | SFEBES2009

Diagnostic and therapeutic challenges in virilised female with learning difficulties

Osborne L , Balen A , Freeman M

Case: A 22-year-old lady was referred with marked hirsutism for 12 months and secondary amenorrhoea for 4 years. She has a complex medical background including persistent hyperinsulinaemic hypoglycaemia of infancy (PHII) necessitating subtotal pancreatectomy with subsequent diabetes. Perhaps a result of PHII, she also has learning difficulties and epilepsy. Other problems include myopathy and mild chronic thrombocytopaenia.Medications: insulins glargine ...

ea0010p31 | Diabetes, metabolism and cardiovascular | SFE2005

Hyponatraemia: ignored or ignorance?

Hundia V , Freeman M , Brueck A

Background and objectiveHyponatraemia is a common metabolic disorder with a significant morbidity and mortality, especially in the elderly. However, its significance is often ignored, and when found, inadequately investigated and inappropriately managed. The objectives of this audit were to investigate the investigations and management of hyponatraemia in a large District General Hospital.MethodsFrom the bioc...

ea0019p35 | Clinical practice/governance and case reports | SFEBES2009

Recombinant human growth hormone in pregnancy

King R , Rajeswaran C , Freeman M

A 34-year-old female was seen in the joint diabetic antenatal clinic during her second pregnancy. She had a very unfortunate first pregnancy, which resulted in a still birth following a traumatic delivery. She also had a large post-partum haemorrhage causing SheehanÂ’s syndrome. Hormone replacement therapy had been commenced, including hydrocortisone, thyroxine and growth hormone (GH). Pre-treatment quality of life assessment in GH deficient adults score (Qol-AGHDA) 21, an...