Endocrine Abstracts

A 51 year old female presented with an Adjusted Calcium (Adj Cal) of 1.68mmol/l (Ref: 2.20-2.60 mmol/l), raised PTH 24.2 pmol/l (1.6-6.9 pmol/l) and raised Alkaline phosphatase (ALP). She had a background of type 2 intestinal failure secondary to surgical complications resulting in stoma formation. She reported peri-oral tingling, joint stiffness, cramps and generalised pain over several months which left her requiring the use of a wheelchair for mobilisation. There was proxim...

A 35-year-old gentleman was referred to our Endocrinology department by Moorfields Eye hospital. He reported a one-year history of visual decline in his right eye, which led to prescription glasses, and incidental finding of bilateral conjunctival nodules. He had reduced visual acuity (pinhole right eye: 6/24 and left eye 6/6) and prominent corneal nerves on slit-lamp examination. He underwent an excisional biopsy of the conjunctival nodules confirming bilateral conjunctival n...

A 68 year old gentleman referred to endocrinology clinic with a few years history of erectile dysfunction (ED), which manifested as reduced libido and partial erections. Investigations revealed primary hypogonadism with a low morning serum Testosterone of 4.8 (Ref: 7.9-31 nmol/l), raised FSH at 47 (Ref:1.5-12.4 iu/l) LH at 36.8 (Ref: 1.7-8.6iu/l) and normal thyroid function tests (TFTs). The patient declined testosterone replacement therapy following a discussion of pros and c...