Endocrine Abstracts

Growth hormone replacement is not essential but it is an important treatment for adult with GH deficiency and for adults with childhood onset GH deficiency, the aim of management changes as they grow which involves testing and retesting, clarification of the replacement aim and adjustments of the dosage accordingly. This is a case of a 29 year old man who presented with short stature during childhood at the age 7 yr old and subsequently found to have growth hormone (GH) defici...

The relationship between male infertility and plasma testosterone level is not linear and sometimes there could be discordance in the association. This is a case of 41 year old investment banker presented with erectile dysfunction and low libido with intact morning erections referred to Endocrinology clinic after being seen by psychologist and private endocrinologist which started 3 years before for infertility. Puberty was early, normal, at around 9-10 years old age. Previous...

Graves’ disease relapse is a common occurrence during the postpartum period which is due to resurgence of immune system after pregnancy. In most cases, overt clinical symptoms are seen and the timing of its occurrence varies from 4 to 8 months. This is a case of a 33 year old lady referred after an MTOP with bilateral pappiloedema and subsequently diagnosed with Graves relapse. She had a background of Graves’ disease 7 years ago initially treated medically and had tw...

Graves’ disease is a very common cause of thyrotoxicosis and it runs a relapsing remitting course due to varying immunogenicity of the pathogenic autoantibodies. Medical treatment is the preferred means of treatment by patients especially in the uncomplicated and non relapsing cases. Few studies have established the additional benefit of thionamides on immunogenic characteristics in Graves’s disease. This is a case of a 30 year old lady diagnosed with Graves’ di...

Introduction: Endogenous cortisol secretion should cease after bilateral adrenalectomy (BAL) and steroid hormone replacement is life sustaining at the regular physiologic dosage. However, there are reports of occurrence of functioning adrenal tissue in the setting of BAL treatment for ACTH dependent Cushing’s syndrome and not the other known indications for BAL.Case report: A 44-year-old lady with functioning adrena...

Introduction: Struma ovarii is often initially diagnosed as a suspected ovarian malignancy due to atypical characteristics on the imaging and hyperthyroidism is only seen in about 8% of presentation making thyroid function test (TFT) an unreliable test to suspect it pre-operatively. There are few case reports on its varied structural and functional characteristics in the literature. However, there are no reports of the influence of an intrinsic thyroid disease...