Searchable abstracts of presentations at key conferences in endocrinology

ea0073aep559 | Pituitary and Neuroendocrinology | ECE2021

A rare case of panhypopituitarism secondary to neurosarcoidosis initially treated as sepsis of unknown origin

Anwar Mehreen , Abdulla Eman , Joseph Vinod

Sarcoidosis is a very rare inflammatory disease and UK prevalence was 8% between 2008 to 2012 of which only 15 % developed neurosarcoidosis. Our patient is a 83 year old gentleman who presented with symptoms of lethargy, low blood pressure and confusion over 2 weeks . He had multiple comorbidities including heart failure, chronic kidney disease, permanent pacemaker, hypertension. His bloods showed normocytic anaemia and raised inflammatory markers, with eosinophilia and he was...

ea0053cd1.1 | Case Discussions: complex clinical cases 1.0 | OU2018

A novel way to manage obesity in a patient with poorly controlled Addison’s disease

Rajeswaran Chinnadorai , Holmes Simon , Joseph Vinod , Hanafy Ahmed

Introduction: The reason for weight gain is multifactorial. Effective intervention can only be incorporated if the underlying cause is evaluated correctly. Here we present a lady with AddisonÂ’s disease who gain significant weight and was helped to lose weight using a novel approach.Case-Report: 42 year-old lady was referred to our weight-management service as she was unsuccessful in losing weight. Detailed evaluation in the obesity clinic revealed t...

ea0044p195 | Obesity and Metabolism | SFEBES2016

Adrenal insufficiency post gastric bypass surgery

Joseph Vinod , Kushe Manish , Muniyappa Suresha , Rajeswaran Chinnadorai

Introduction: Bariatric surgery is now a common surgical procedure for weight management recommended by NICE. Complications such as dumping syndrome, micronutrient deficiencies are well documented in the literature. Here we discuss a lesser reported complication of adrenal insufficiency and its management in five patients following gastric bypass surgery.Case reports: All patients presented with one or more of the following symptoms: sweating, anxiety, w...

ea0044ep82 | (1) | SFEBES2016

Pituitary atrophy: a rare cause of pan hypopituitarism

Kushe Manish Shrikrishna , Joseph Vinod , Rajeswaran Chinnadorai , Muniyappa Suresha

Introduction: Idiopathic Pituitary atrophy is rare cause of pan hypopituitarism. Various hypotheses were proposed to identify aetiology of idiopathic pituitary atrophy. Still definite cause is not known. There are very few reported cases of pituitary atrophy. We present a case of pituitary atrophy that required complete replacement of pan hypopituirsm to alleviate her symptoms.Case report: About 64 year lady was referred for evaluation of hyponatraemia a...

ea0044ep84 | (1) | SFEBES2016

Delayed diagnosis in a case of insulinoma due to hypoglycaemia unawareness

Joseph Vinod , Kushe Manish , Rajeswaran Chinnadorai , Muniyappa Suresha

Introduction: Insulinoma is a neuroendocrine tumour derived from the pancreatic islet cells producing excessive amounts of insulin. It can be seen at every age but mostly seen in females above age 50 years old. Because of nonspecific symptoms 20% of cases are misdiagnosed primarily. Major symptoms and signs are related to hypoglycaemia and become significant due to exercise and fasting. This case reveals the diagnostic difficulty due to hypoglycaemia unawareness.<p class="...