Endocrine Abstracts

A 63-year-old Caucasian female was admitted with a 12-month history of exertional breathlessness, anxiety attacks, syncopal episodes, diarrhoea, fatigue, reduced appetite, two stones weight loss, and dry facial and truncal flushing. Investigations revealed raised Urine 5-HIAA of 116 (RR <50 μmol/24 h) and raised Chromogranin A of 48 (RR <6 nmol/l). CT scan revealed an extensive soft tissue mass encasing the upper abdominal aorta, compressing the inferior vena cava...

We present the case of a 77-year-old lady who had a previous total pharyngo-laryngo-oesophagectomy for laryngeal squamous cell carcinoma. Her serum calcium had been normal on alfacalcidol and calcium supplementation for six months. She was admitted with dehydration and symptoms of hypercalcaemia on two different occasions, with corrected calcium 3.86 and 4.67 mmol/l. Each time she was treated with intravenous fluids and intravenous disodium pamidronate 60 mg by the admitting t...