Searchable abstracts of presentations at key conferences in endocrinology

ea0059ep96 | Reproduction | SFEBES2018

Unusual Cause of Severe Hyponatraemia

Hanafy Ahmed , Holmes Simon , Rajeswaran Chinnadorai

Introduction: Testosterone replacement therapy is the standard treatment for hypogonadism. However, there are also serious side effects which clinicians should be aware of. Here we present a case of unusual side effect related to testosterone therapy.Case history: A 90 year-old gentleman attended A&E with gradually worsening confusion and dyspnoea. His breathing had deteriorated in the last week with marked decrease in exercise tolerance. Investigati...

ea0053cd1.1 | Case Discussions: complex clinical cases 1.0 | OU2018

A novel way to manage obesity in a patient with poorly controlled Addison’s disease

Rajeswaran Chinnadorai , Holmes Simon , Joseph Vinod , Hanafy Ahmed

Introduction: The reason for weight gain is multifactorial. Effective intervention can only be incorporated if the underlying cause is evaluated correctly. Here we present a lady with Addison’s disease who gain significant weight and was helped to lose weight using a novel approach.Case-Report: 42 year-old lady was referred to our weight-management service as she was unsuccessful in losing weight. Detailed evaluation in the obesity clinic revealed t...

ea0053p06 | (1) | OU2018

Our experience in managing disabling hypoglycaemia post-gastric bypass surgery

Hanafy Ahmed , Mohammad Misbah , Haridass Sabari Anand , Rajeswaran Chinnadorai

Introduction: Prevalence of obesity is increasing worldwide. As a consequence the number of people undergoing bariatric surgery is also on the rise. Hypoglycaemia is increasingly seen in patients who have undergone gastric bypass surgery and we have successfully managed most of them. Here we describe our experience in dealing with one of the patients with disabling hypoglycaemia.Case-report: A 35-year-old woman with BMI of 41.87 kg/m2 had Roux...

ea0063p406 | Thyroid 1 | ECE2019

Exacerbation of thyrotoxicosis following radioiodine therapy in benign thyroid diseases: can it be predicted?

Hanafy Ahmed , Holmes Simon , Britton Jason , Pereira Olivia

Introduction: Radioactive iodine (RAI) is an effective and widely used treatment for thyrotoxicosis. Post-radioiodine thyrotoxicosis is a well-known side effect of RAI. This is usually mild and easily controlled mostly with beta blockers but sometimes needs anti-thyroid drugs (ATD).Aim of the study: To assess the incidence and predictors of post-radioiodine thyrotoxicosis.Methods: Retrospective analysis of 86 patients who had RAI t...

ea0059p028 | Adrenal and steroids | SFEBES2018

How useful is 24 hour Urinary Free Cortisol as a screening tool for Cushing’s syndrome?

Hanafy Ahmed , Rajeswaran Chinnadorai , Saddiq Saad , Gillibrand Warren , Stephenson John

Introduction: Cushing’s syndrome (CS) is a rare disease that can be difficult to diagnose. 24 hour urinary free cortisol (UFC) is one of the reliable screening tests to diagnose CS. The Endocrine Society recommends against widespread screening for CS. It advises to screen those patients presenting with multiple and progressive features (easy bruising, facial plethora, proximal myopathy and striae) of CS, in addition to patients who experience unusual features for their ag...

ea0065p154 | Endocrine Neoplasia and Endocrine Consequences of Living with and Beyond Cancer | SFEBES2019

Checkpoint inhibitors and immune related diabetes mellitus: a case series

Hanafy Ahmed , Seejore Khyatisha , Kyriakakis Nikolaos , Al-Qaissi Ahmed , Kassim Saifuddin , Marples Maria , Murray Robert D

Introduction: Checkpoint inhibitors (CPi) are finding a place in the treatment algorithm of an increasing number of cancers. Immune-related (ir) endocrinopathies are frequent side-effects. Diabetes mellitus (irDM) is infrequent, but often presents acutely and can be potentially life-threatening There are ˜60–70 cases characterising irDM in the literature. We describe 4 cases of irDM to add to the understanding of this condition. All four patients were undergoing trea...