Endocrine Abstracts

A 24 year old man was admitted by the Surgeons with left sided abdominal pain. He was febrile and tachycardic and found to have raised inflammatory markers. Abdominal CT scan revealed a 6 cm left adrenal haemorrhage with no evidence of an underlying lesion. Initial endocrine investigations were unremarkable for Cushings, Conn’s and adrenal insufficiency. Norepinephrine levels were high but settled subsequently. He had a coagulopathy and evidence of reactivation of EB viru...

Direct trauma to the adrenal glands resulting in adrenal gland failure is relatively rare. We present two cases of post-traumatic hypoadrenalism.Case 1: A 53-year-old male who was trapped under a lorry trailer. He was found to have fractures of T6 (unstable), T12, rib and sternal fractures. He was transferred to the orthopaedic ward and required a spinal splint. He was slowly recovering until day 20 of his admission when he became hypotensive and tachyca...

Introduction: Graves’ disease during pregnancy may cause maternal or neonatal complications, including arrhythmia, thyroid storm, congenital anomalies and neonatal thyroid dysfunction (TD). The optimal timing and frequency of TRAb measurement in pregnant women with a history of TD, and whether fetal monitoring could be limited to those with a strongly positive TRAb, is unclear.Methods: Retrospective case note review of women with elevated TRAb (>1 i...