Endocrine Abstracts

A 29 year old lady with a background Hx of asthma came to the Ambulatory clinic with palpitations in the mid of Dec 2022. She was found to have an elevated heart rate of 120/min, regular and EKG showed Sinus Tachycardia. BP was Normal and weight was stable. She was also complaining of loose Bowls for the last few months. She denied any eye signs. She was a smoker and was not pregnant (She was not planning pregnancy in the near future). Her Bloods were Normal with stable U&...

Liquorice (scientific name Glycyrrhiza glabra) is historically used for gastrointestinal complaints. Now it is primarily used as a flavoring agent in the tobacco, confectionery and to some extent in the pharmaceutical and beverage industries. Excessive intake of liquorice may cause a primary hyperaldosteronism-like syndrome characterized by sodium and water retention, hypertension, hypokalaemia, metabolic alkalosis, low-renin activity, and hypoaldosteronism. We descri...

Hypoparathyridsm and pseudohypoparathyroidsm are the common causes of pathological calcification in the brain though 0.3–1.5% cases are physiological. The clinical presentation of hypoparathyroidsm can vary with the calcium levels and chronicity of hypocalcaemia. We describe a 39-year-old female who had type one diabetes for the last 23 years. She was repeatedly hospitalised with collapse episodes thought to be hypoglycaemic though never proved. She also had primary hypop...

Thyrotoxicosis is a common disorder especially in women. Most of the patients tolerate antithyroid medications very well with very few developing life threatening side effects. We describe a 64 years old gentleman who was diagnosed with hyperthyroidism secondary to Grave’s disease (autoimmune). He was treated with Carbimazole 20 mg daily. With in a month, he presented with malaise and reduced oral intake. Laboratory investigations showed acute cholestatic hepatitis with r...

A 37 year old gentleman with no significant past medical history presented with 2 day history of acute onset headache, nausea, vomiting, photophobia and fever. He was pyrexial. He had no focal neurological deficit but marked neck stiffness. His inflammatory markers were raised. CT head showed large pituitary tumour. He was started on Dexamethasone and IV Ceftriaxone and transferred to tertiary centre. MRI brain showed large pituitary macroadenoma projecting into right cavernou...