Endocrine Abstracts

In 1995 the Royal College of Physicians issued guidelines for the use of radioiodine in hyperthyroidism. They recommended administration of enough radioiodine to achieve euthyroidism, with acceptance of a moderate rate of hypothyroidism e.g. 15–20% at 2 years and 1–3% per annum thereafter. Guide activity was 400–550 MBq for standard hyperthyroidism (mainly Graves’ disease), at least 550 MBq for toxic multinodular goitre, and 300–500 MBq in toxic adenom...

We present the case of assumed ectopic GHRH from residual bronchial carcinoid on the basis of an elevated serum GH, an elevated IGF-1 impaired glucose tolerance and an acromegalic appearance. The patient was diagnosed with a left bronchial carcinoid in 1985, aged38 years. Treated with a left pneumonectomy. She remained well until she presented in 1994 with an oesophageal variceal bleed. She had no evidence of portal hypertension or liver disease. CT chest revealed a mediastina...