Endocrine Abstracts

A 57 year old man presented with a 2 year history of erectile dysfunction and loss of libido. He was able to achieve erections but could not maintain them for intercourse. This was causing considerable strain on his marital life. He also complained of lethargy and general fatigue. His past medical history included diet-controlled type 2 diabetes and hypertension. He was an ex-smoker with a 40 pack year history and drank socially. He was an office worker. He had 3 grown up chil...

A 72 year old lady was referred after recurrence of fragility fractures, despite being on bisphosphonate therapy for 10 years. She had 2 low-impact falls in 2020 and 2021, which resulted in hip and right distal femur fractures respectively. She had been compliant on alendronic acid 70mg once weekly since 2012, when she was diagnosed with osteoporosis at the age of 62, after sustaining 2 fragility fractures of the distal radius and elbow after separate low-impact falls. DXA sca...

A 25 year old lady initially presented with symptoms of palpitation, irregular menses and unintentional weight loss. She was a non-smoker with no current pregnancy plans or family history of thyroid disease. On examination, she was tachycardic and had a moderate diffuse goitre but no signs of thyroid ophthalmopathy. She was biochemically hyperthyroid (TSH <0.01 mIU/l, fT4 30.0 pmol/l, fT3 >30.7 pmol/l). Carbimazole 30 mg daily was started for likely Graves’ diseas...