Searchable abstracts of presentations at key conferences in endocrinology

ea0081ep80 | Adrenal and Cardiovascular Endocrinology | ECE2022

Adrenal insufficiency presenting as hypercalcemia and acute kidney injury

Jadoon Nauman

Introduction: Hypercalcemia is uncommon in patients with adrenal insufficiency. It is common in patients with primary hyperparathyroidism and malignancy.Case: This is a case of primary adrenal insufficiency presenting as acute kidney injury and hypercalcemia. The patient was referred with 10 days history of vomiting, decreased appetite, lethargy and abdominal pain. A week before admission, she developed pleuritic chest pain worsening with inspiration. He...

ea0065p119 | Bone and calcium | SFEBES2019

Post thyroidectomy and parathyroidectomy: optimizing calcium monitoring and management

Jadoon Nauman

Background: Postoperative hypocalcemia is common after extensive thyroid surgery and parathyroid surgery. There are various risk factors, although there is lot of variability.Methods and results: The aim of this project was to examine and improve postoperative monitoring and management of serum calcium at a district general hospital. Process was mapped using a flow chart and was discussed in MDT to identify areas for improvement. Data was then collected ...

ea0067gp24 | Poster Presentations | EYES2019

Acute severe hyponatremia in patient on terlipressin for recurrent variceal bleeding

Jadoon Nauman A

Background: Terlipressin is a vasopressin agonist used in acute variceal bleeding due to its effect on vasopressin V1 receptors, causing splanchic vasoconstriction. Although it has good safety profile, it has been shown to act as partial agonist of V2 receptors but its effects on serum sodium concentration can be variable.Case Presentation: 58 year old lady was admitted after banding for variceal bleed found at routine screening. She was started on terli...

ea0073aep336 | Diabetes, Obesity, Metabolism and Nutrition | ECE2021

A case of post-partum diabetic ketoacidosis in a patient with gestational diabetes mellitus

Jadoon Nauman

BackgroundThere is ample data linking GDM to risk of type 2 diabetes mellitus postpartum, however, development of type 1 diabetes mellitus and presentation with DKA is rare especially few weeks postpartum.CaseA 28 year old female 4 month postpartum was admitted to hospital with rapid weight loss and osmotic symptoms. She did not have any past medical history of note, with history of T2DM in both mother and fa...

ea0099ep309 | Calcium and Bone | ECE2024

Hypercalcemia caused by advanced chronic liver disease without malignancy: a rare entity

Jadoon Nauman

Background and Aims: Hypercalcemia in patients with advanced chronic liver disease (CLD) without hepatic neoplasia is a rarely reported and poorly understood entity. CLD is usually associated with hypocalcaemia because of hypoalbuminemia. Hypercalcemia on the other hand is extremely rare and needs meticulous ruling out of other causes.Methods: Here a case of 55-year-old male with hypercalcemia who had chronic liver disease in the absence of malignancy, i...

ea0099ep368 | Thyroid | ECE2024

Adrenal decompensation precipitated by severe graves’ thyrotoxicosis

Jadoon Nauman

Background and Aims: Thyroid hormone can accelerate glucocorticoid turnover and there have been cases of adrenocortical insufficiency reported after radioactive iodine treatment. However, the patient presented here did not have any such precipitant nor any underlying adrenal disease, and her adrenal insufficiency resolved after treatment of thyrotoxicosis.Methods: A case of a 45-year-old lady with GravesÂ’ disease is presented, who developed hypoadre...

ea0077cc3 | (1) | SFEBES2021

Hypercalcemia caused by Advanced Chronic liver disease without Malignancy: A rare entity

Jadoon Nauman , Khan Muhammad , Zafar Athesham

Background: Hypercalcemia in patients with advanced chronic liver disease (CLD) without hepatic neoplasia is a rarely reported and poorly understood entity. CLD is usually associated with hypocalcaemia because of hypoalbuminemia. Hypercalcemia on the other hand is extremely rare and needs meticulous ruling out of other causes.Case Report: A 55-year-old male who was admitted with jaundice, weight loss and hypercalcaemia. He had a calcium that peaked at 3....

ea0077p69 | Metabolism, Obesity and Diabetes | SFEBES2021

Persistent Lactic Acidosis after resolution of DKA in Young Patients with Poorly Controlled Diabetes Mellitus

Jadoon Nauman , Noor Sajjad , Khan Muhammad

Background: Lactic acidosis is a common finding in critically ill patients. In patients with poorly controlled diabetes for a prolonged period of time, Glycogenic hepatopathy (GH), can cause lactic acidosis which is a rare condition that develops due to excessive accumulation of glycogen in the hepatocytes.Cases: Two cases with poorly controlled diabetes and glycogenic hepatopathy are presented. First patient was a 28 year old female with 20 year history...

ea0086p319 | Bone and Calcium | SFEBES2022

Denosumab for refractory hypercalcemia due to primary hyperparathyroidism in patient with COVID-19

Jadoon Nauman , Ferguson Stewart , McAulay Vincent

Background: There is limited data on the use of Denosumab for hypercalcaemia in patients with primary hyperparathyroidism (PHPT). We describe a case of severe hypercalcaemia in a critically ill patient with COVID, on a background of mild PHPT prior to hospital admission.Case report: Seventy-seven-year-old gentleman with mild hypercalcaemia dating back to 2019, was referred to endocrinology with hypercalcaemia (adjusted calcium 4.02 mmol/l) and associated...

ea0050ep041 | Clinical Biochemistry | SFEBES2017

Sertraline-induced non-hyperinsulinemic hypoglycaemia in a non-diabetic patient : A case report

Karim Rehmat , Shah Najeeb , Jadoon Nauman , Mohammed Kamrudeen

Case: A 44-year-old patient presented with symptoms of sweating, shaking and hunger, which were all eased by eating. Her symptoms were suggestive of hypoglycaemia, experienced predominantly 2-3 hours after meals. Hypoglycaemia was confirmed during these episodes. She had normal liver and renal function. There was no history of Diabetes Mellitus.Her symptoms improved slightly with measures of adjusting her diet but did not sett...