Searchable abstracts of presentations at key conferences in endocrinology

ea0070aep984 | Thyroid | ECE2020

The flight of the thyroid- the butterfly effect

Kapoor Ashutosh

Introduction: Dual nivolumab and ipilimumab immunotherapy has the potential of causing an immune-mediated thyrotoxicosis, precipitating thyroid storm.Case details: A 62-year-old Caucasian woman with a history of Lung Carcinoma (Non small Cell Lung Carcinoma) presented to the emergency department, with a 3-day history of intractable nausea, severe headache, vomiting and anxiety.She had been initiated on dual nivolumab and ipilimumab...

ea0082oc10 | Oral Communications | SFEEU2022

Not your usual barn door Hyponatremia- A twist in the tale of a common Electrolyte abnormality

Kapoor Ashutosh , Deore Mahesh

Case History: We report the case of a 25-year-old Asian male who presented to our hospital with recurrent episodes of abdominal pain complicated by significant Hyponatremia. Initial admission was in November 2021 followed by March, 2022 with similar symptoms. He remained under surgical care during both admissions. For his severe hyponatremia, an urgent Endocrine input was sought. The patient was not on any medications that could be implicated in his biochemical picture and his...

ea0081ep205 | Calcium and Bone | ECE2022

Regional Migratory Osteoporosis- An under-diagnosed entity

Kapoor Ashutosh , Rao Balmuri Laxmi Manohar

Introduction: Regional Migratory Osteoporosis (RMO) is a rare condition, characterised by a self-limiting migratory arthralgia, which generally tends to involve the lower limbs. The arthralgia is usually, not associated with any history of trauma. Radiologically, Magnetic Resonance Imaging (MRI) is the investigation of choice. Bone Marrow Oedema (BMO) with subchondral sparing are the usual findings in patients with RMO. This condition is usually under diagnosed due to the comp...

ea0069p44 | Poster Presentations | SFENCC2020

Lymphocytic Hypophysitis and Pituitary Adenoma – The diagnostic conundrum and how differentiating between the two masquerading entities forms a pivotal role in management

Kapoor Ashutosh , Basu Ambar , Thant Aye Aye

Introduction: Lymphocytic Hypophysitis (LH) is an autoimmune endocrinopathy characterised by extensive infiltration of the anterior pituitary gland with chronic inflammatory cells, thus causing pituitary expansion and a variable degree of hypopituitarism closely mimicking the features noted in pituitary adenoma and seen most frequently in women. The aetiology has a general preponderance of occurring at the end of gestation or during the early postpartum period.<p class="ab...

ea0070ep63 | Bone and Calcium | ECE2020

An atypical presentation of a typical aetiology

Kapoor Ashutosh , Ali Sadaf , Wahab Furat

Introduction: Primary hyperparathyroidism (P-HPT) is a common endocrine disorder that occurs as result of adenomas (80–85%), hyperplasia (10–15%), atypical adenoma or carcinomas (<1%). Atypical parathyroid adenoma (APA) is a rare entity and represents intermediate group of parathyroid neoplasms of uncertain malignant potential with some atypical histological features.Case details: We report a case of a 34-year male, with a background of h...

ea0073aep469 | Pituitary and Neuroendocrinology | ECE2021

The usage of aripiprazole as a single agent in the treatment of hyperprolactinemia associated with diogenes syndrome- a novel approach

Birgi Harleen Kaur , Fawzi Waleed , Kapoor Ashutosh

IntroductionHyperprolactinemia is a condition in which a person has higher-than-normal levels of the hormone prolactin in the blood. It is a relatively common condition encountered in the world of endocrinology. It is often seen as a side-effect with usage of anti-psychotics. Treatment options when symptomatic usually constitute dopamine agonist therapy, the common agents being Cabergoline and Bromocriptine. The uniqueness of this case is attributed to t...

ea0094p146 | Thyroid | SFEBES2023

Unmasking the hidden link: Primary hypothyroidism unleashing severe pericardial effusion

Kapoor Ashutosh , Htut Zin , Uduku Chukwuma

Introduction: Primary Hypothyroidism is a commonly encountered endocrine disorder and can be associated with pericardial effusion and cardiac tamponade in severe cases. Early detection of Hypothyroidism is key since it is a potentially treatable and reversible cause of pericardial effusions.Case Presentation: A 53-year-old female was admitted following a fall. Clinical history was remarkable with symptoms of persistent t...

ea0070ep564 | Hot topics (including COVID-19) | ECE2020

Hyperosmolar Hyperglycaemic State (HHS) and SARS-COV-2 coronavirus- an unusual presentation in a well controlled type 2 diabetic

Kapoor Ashutosh , Basu Dr. Ambar , Thant Aye Aye

Introduction: Hyperglycaemic Hyperosmolar State (HHS) is characterised by Hypovolemia, marked hyperglycaemia, Osmolality of 320 mosmol/kg or more with the absence of acidosis and hyperketonaemia (Ph > 7.3, bicarbonate > 15 mmol/l). This is a presentation usually found in people with poorly controlled Type 2 Diabetes Mellitus (T2DM). During the current pandemic of COVID-19, there have been atypical and unusual presentations of Diabetic Emergencies, in patients with well...

ea0074ncc30 | Highlighted Cases | SFENCC2021

The management of ectopic ACTH syndrome secondary to a lung neuro-endocrine tumour with metyrapone: Illustration from a clinical case

Kapoor Ashutosh , Latchford Charles , Chatzimavridou Victoria , Mansoor Wasat , Adam Safwaan

Case history: We report the case of a previously healthy 69-year-old female who was referred to our centre after she presented with rapidly progressive weight-gain, hyperglycaemia, hypokalaemia and hypertension. She had no symptoms suggestive of carcinoid syndrome. On assessment, she had pathognomonic features of Cushing’s syndrome: central weight gain (peripheral wasting) proximal myopathy, leg oedema, skin thinning, bruising and facial puffiness; this appearance being m...

ea0081p87 | Diabetes, Obesity, Metabolism and Nutrition | ECE2022

COVID-19 and Steroids- How well are we monitoring blood glucose levels?

Me-Me-Ko Aye , Kapoor Ashutosh , Riaz Fatima , Wightman Stuart , Rao-Balakrishna Prasanna

Background: The Covid-19 pandemic has led to various unprecedented challenges and obstacles, especially in the field of Diabetes and Metabolism, many of which are as novel as the pandemic itself. Discovering efficacious therapeutic options resulting in positive outcomes has been a challenge. Dexamethasone has been shown to reduce mortality in patients with Covid-19 pneumonitis who require oxygen therapy and/or ventilation. Exogenous steroid therapy is renowned to cause adverse...