Searchable abstracts of presentations at key conferences in endocrinology

ea0034p11 | Bone | SFEBES2014

Unusual cause of hypocalcemia

Pelluri Lavanya , Hariman Christian , Murthy Narasimha

Introduction: We present a rare cause of hypoparathyroidism and hypocalcemia and implications of the same during pregnancy.Case report: A 22-year-old primigravida was referred to the antenatal endocrine clinic with a longstanding history of hypoparathyroidism with hypocalcaemia. She had short stature and extended digits relative to her height. She has been taking alfacalcidol 0.5 μg once a day and adcal D3 tablets and blood tests revealed low normal...

ea0034p384 | Thyroid | SFEBES2014

Mis-management of medullary thyroid carcinoma leads to investigation of a non existent phaechromocytoma

Hariman Christian , Pelluri Lavanya , O'Weickert Martin

Introduction: Phaeochromocytoma is a rare condition. It presents with non-specific symptoms of palpitations, headache and hypertension. Such symptoms in a patient with background of previous medullary thyroid carcinoma cannot be ignored and would warrant further investigation to exclude MEN II.Case report: A 45-year-old gentleman presents with labile hypertension, headaches and palpitations. He has a history of a recurrent medullary thyroid carcinoma pre...

ea0028p78 | Clinical practice/governance and case reports | SFEBES2012

An Unusual Clinical Presentation May Indicate an Unusual Condition: Phaeochromocytoma presenting as Acute Left Ventricular Failure

Hariman Christian , Jenkins David , Newrick Paul

Introduction: Acute left ventricular failure is rarely caused by phaeochromocytoma. The rarity and severity of this presentation may result in delayed investigation and incorrect management.Case Report: A 22 year old woman was admitted with headache, vomiting, back pain and malaise. She was initially treated for suspected septic shock with intravenous antibiotics and fluids. Within 24 hours of admission, she rapidly deteriorated and developed pulmonary o...

ea0021p43 | Clinical practice/governance and case reports | SFEBES2009

Testosterone replacement in the setting of Finasteride therapy: a therapeutic dilemma

Hariman Christian , Varadhan Laks , Walker Adrian , Varughese George

Introduction: Benign prostatic hypertrophy is common amongst elderly men, and usually treated with the testosterone blocker, finasteride. However, the treatment of such a condition alongside hypo-pituitarism and low testosterone levels presents with a therapeutic dilemma.Case report: An 88-year-old gentleman who was admitted following recurrent episodes of confusion and falls was found to have a serum sodium level of 114 mmol/l, serum osmolality of 258 m...

ea0021p44 | Clinical practice/governance and case reports | SFEBES2009

Addison's disease unmasking an occult systemic cause for cerebral ischaemic event

Hariman Christian , Varadhan Laks , Natarajan Indira , Walker Adrian , Varughese George

Introduction: Cerebral ischaemic events in young patients due to patent foramen ovale are rare. A more plausible diagnosis had clouded the initial management and diagnosis of such a case in a young male patient.Case report: A 19-year-old gentleman was admitted with vomiting and profound hyponatraemia of 99 mmol/l. He was diagnosed to have Addison’s disease (with positive adrenal antibodies) following a flat short synacthen test. He warranted ITU adm...