Searchable abstracts of presentations at key conferences in endocrinology

ea0055cb16 | Additional Cases | SFEEU2018

DHEA: is it fountain of youth or medical need?

Kumar Rakshit , Hafeez Saba , Velusamy Anand

We present here a case of 70 year old female, seen in endocrine clinic for Hypothalamic-Pituitary-Adrenal (HPA) axis suppression after prolonged glucocorticoid use. History revealed that she had prolonged use of prednisolone for her asthma in the past. In 2011, Prednisolone was stopped but she had to be started on Hydrocortisone replacement due to HPA axis suppression. She was taking Hydrocortisone 20 mg BD. Trials to wean her off Hydrocortisone failed due to ongoing tiredness...

ea0055wc2 | Workshop C: Disorders of the thyroid gland (I) | SFEEU2018

Toxic nodule: wait or treat?

Hafeez Saba , Kumar Rakshit , Velusamy Anand , Powrie Jake , Carroll Paul

68 years old female initially referred to endocrine clinic in November 2016 for assessment of fluctuating thyroid function. She had a history of long standing primary hypothyroidism, stable on treatment with 100 mcg Levothyroxine. In last one year, Levothyroxine was tapered and stopped due to persistent suppression of TSH and high normal Free T4. Last tests showed TSH of <0.01mIU/l and Free T4 of 27.1 pmol/l. She had ongoing complaints of feeling increasingly tired and gen...

ea0041ep636 | Endocrine tumours and neoplasia | ECE2016

Hyperparathyroidism-jaw tumour syndrome in Adolescence

Hafeez Saba , Kalk John , Saqib Aaisha , Izzat Louise

Introduction: The hyperparathyroidism-jaw tumour syndrome is a rare autosomal, dominantly inherited disorder characterized by neoplastic or cystic lesions in parathyroid gland, jaws and the kidneys. With approximately 200 reported cases in literature this condition remains a challenge both diagnostically and in guiding further management.Case report: Seventeen year old scholar was seen by the maxillofacial department at Medway Hospital with 2 painless sw...

ea0077p14 | Adrenal and Cardiovascular | SFEBES2021

COVID-19 and Adrenal Insufficiency: A retrospective Study at a District General Hospital

Kumari Reena , Abid Mahwish , Hafeez Saba , Sennik Devesh , Wallace Jennifer , Eleftheria Panteliou , de Silva Purnami

Introduction: Covid -19 can cause serious or severe illness in anyone but those with chronic health conditions are at greater risk. Adrenal insufficiency (AI) is assumed to be associated with an increased Covid-19 infection risk, which could trigger an adrenal crisis. We conducted a retrospective study at district general hospital to assess the incidence of COVID-19 in Adrenal insufficiency patients.Method and material: Retrospective review of 43 patient...

ea0069p12 | Poster Presentations | SFENCC2020

A case of non-islet cell tumour hypoglycaemia due to advanced hepatocellular carcinoma secondary to previously undiagnosed chronic HBV-infection

Saad Muhammad , Hafeez Saba , Ogunko Arthur , Mohandas Cynthia , Abedo Itopa Fidelis

Case history: A 30-year-old Ugandan male, now living in UK, presented to A&E with confusion and agitation. Capillary blood glucose was 0.9 mmol/l and he was commenced on intravenous Dextrose. During blood donor screening in Uganda, he was told that he had a blood-borne infection. He had gross hepatomegaly on examination. During admission, he experienced repeated episodes of hypoglycaemia despite increased dietary intake of carbohydrates and continuous infusions of 5%-10% D...

ea0065p81 | Bone and calcium | SFEBES2019

Relationships between serum calcium and parathyroid hormone levels on effectiveness of parathyroid scintigraphy with Sestamibi

Hafeez Saba , Saad Muhammad , Ilyas Hajira , Smith Aisling , Velusamy Anand , McGowan Barbara , Carroll Paul

Introduction: 99m/Tc-MIBI parathyroid scintigraphy (MIBI) is the most common test used for pre-operative localization of parathyroid adenoma in primary hyperparathyroidism. We evaluated the influence of serum calcium and parathyroid hormone (PTH) levels on sensitivity of MIBI imaging in successful parathyroid localisation in patients identified as having primary hyperparathyroidism.Methods and material: Retrospective review of 403 patients who had MIBI s...