Endocrine Abstracts

A patient from a known family with MEN-1 was referred to the endocrine team in 1995 for endocrine screening. At that time she was well although she had hyperprolactinaemia which was attributed to macroprolactin isoforms. Subsequently she was found to have an occipital meningioma which was removed in 2002, but unfortunately developed post-operative partial seizures.In 2006 she developed a non-functioning adenoma in the tail of the pancreas which was succe...

We report a case of Carney complex who demonstrated most of the disease-defining features and an unusual manifestation of choroidal malignant melanoma not previously reported in the literature.A 16-year-old female patient initially presented to the endocrinologists in 1991 with secondary amenorrhea and raised prolactin levels, diagnosed to have a pituitary microprolactinoma. Past history included episodes of vague syncope and palpitations treated as comp...

Some patients with Cushing’s have only periodic hypercortisolism, known as cyclical Cushing’s, becoming eucortisolaemic or even transiently subnormal between periods of hypercortisolaemia. We report two cases and discuss the management.A 23-year-old lady presented in March 2007 with Cushingoid features. Initial urinary free cortisol was raised at 594 nmol/l. A midnight cortisol of 568 nmol/l and post-48 h low dose dexamethasone cortisol of 351 ...

Introduction: Ectopic Cushing’s syndrome constitutes the second most common paraneoplastic syndrome and has been seen in 1-5 % of small cell lung cancers. It has a poor prognosis and can present with life-threatening complications.Case: We present a 66-year-old lady who attended with peripheral oedema, bruising and visual blurring. Past medical history included bronchiectasis, oesophageal web, ischemic colitis, Ehlers Danlos syndrome, and hypoxic br...

Carbimazole is one of the most commonly prescribed endocrine medications. There are a wide range of side effects associated including bone marrow disorders, severe cutaneous reactions, agranulocytosis and vasculitis. There have been few reports of anti-thyroid associated arthritis, described as migratory arthritis with prompt resolution following medication discontinuation. Side effects reported in British national Formulary and Electronic Medicine Compendium include myopathy ...

Introduction: Infertility affects 15% of couples worldwide. Male factors account for half of cases seeking medical care.Objectives and methods: To ascertain whether the American Association of Clinical Endocrinologists (AACE) guidelines regarding gonadotrophin induction of spermatogenesis in men with hypogonadism are being followed in our unit. Data were collected retrospectively from clinical records.Results: 26 couples were ident...

The Competency Framework for Adult Endocrine Nursing was launched at the Society for Endocrinology (SfE) BES conference in March 2013 and was made available to Endocrine nurses and Endocrine centres in the UK. It was also made accessible via the SfE website. Questionnaires were sent out 6 months later to audit its use.Results: 80.4% of nurse respondents had heard of the document and 69.6% had read it. 100% of those who had read it found it easy to use an...

Background: Lifelong surveillance should be offered to people with hereditary phaeochromocytoma and paraganglioma (PPGL), including asymptomatic carriers of pathogenic gene variants. Regular biochemical and radiological surveillance aims to improve disease detection and prognosis. During the COVID-19 pandemic, outpatient appointments were cancelled or postponed. Departments continue to face large backlogs of work. Clinicians in the USA reported 15% PPGL patients missing at lea...

The Society for Endocrinology Nurse Committee provides national, international and local guidance, support and networking for nurses working in Endocrinology. Following review and revalidation of the endocrine nurse certificate, the Nurse Committee looked to explicate adult endocrine nurse competencies. The need for core competencies to standardise role expectations was a concern voiced from nurses and committee members. Up to the introduction of paediatric endocrine nurse com...

Acromegaly is associated with increased morbidity and mortality. Surgical excision of the adenoma remains the best option to attain a cure. The results of surgery in the region were unsatisfactory compared to other European centres as was amply borne out in a 1998 review. As the lack of a dedicated pituitary surgical team was considered contributory, one was developed offering Endoscopic, transsphenoidal, pituitary surgery and their results audited.Sixte...