Searchable abstracts of presentations at key conferences in endocrinology

ea0065p342 | Nursing practice | SFEBES2019

More than just tea and cake. The benefit of patient to patient peer support

Shepherd Lisa M , Kauser Samina

Introduction: Acromegaly is caused by excessive growth hormone production and elevated IGF-1 levels. Annual incidence rates are reported to be between 0.2 and 1.1 cases/100 000 people, with a prevalence of 2.8–13.7 cases/100 000 people. Small numbers make it difficult to differentiate any differences between sex. A recent increase in the number of females diagnosed with acromegaly at our centre, voiced a need for peer and psychological support. It is known that acromegaly...

ea0055cb13 | Additional Cases | SFEEU2018

Insulinoma – atypical response to tests and uncommon adverse effects to medical treatment

Kempegowda Punith , Kauser Samina , Shepherd Lisa , Ahmed Mohamed Salih

Background: Insulinoma is the most common cause of hypoglycaemia due to endogenous hyperinsulinemia. However, they can sometimes present with atypical features. Some of the patients can also develop serious adverse effects to medical treatment. We present a case with atypical features and further developed serious adverse effects with medical treatment for insulinoma.Case presentation: A 42-year-old Caucasian female presented with recurr...

ea0065p53 | Adrenal and Cardiovascular | SFEBES2019

Adrenal suppression following Herbal remedy for Nasal Polyps....not to be sniffed at

Kauser Samina , Shepherd Lisa , Dar Shujah , Lawson Alex , Shakher Jayadave

A 69-year-old South Asian male presented in A+E with hyponatremia. He had pervious history of Lyme Node TB (treated 2014), Asthma and Nasal Polyps. Medication history, patient was taking Fludrocortisone nasal spray for the 30–40 years and Seretide inhaler. Also, CT scans at admission did not identify relapse in Lyme Node TB. Upon investigation he was found to have undetectable morning cortisol (<28 mmols). He was started on Hydrocortisone 10 mg, 5 mg and 5 mg regime, ...

ea0067gp21 | Poster Presentations | EYES2019

Myocardial Infarction with non-obstructed coronary Arteries (MINOCA) – An uncommon presentation of pheochromocytoma

Melson Eka , Shepherd Lisa , Kauser Samina , Amir Sidra , Freestone Bethan , Kempegowda Punith

Background: Although pheochromocytoma classically presents with headaches, palpitations and paroxysmal hypertension, uncommon presentations such as cardiomyopathy, stroke and subarachnoid haemorrhage have been documented. We present one such infrequent presentation of myocardial infarction with normal coronary arteries (MINOCA).Case presentation: A 79-year Caucasian female presented with central crushing chest pain radiating to left arm associated with h...

ea0059ep5 | Adrenal and steroids | SFEBES2018

What lies beneath? Herbal medications can lead to adrenal insufficiency

Kempegowda Punith , Quinn Lauren , Shepherd Lisa , Kauser Samina , Johnson Briony , Lawson Alexander , Bates Andrew

A 62-year-old Asian British female presented with increasing tiredness. She had multiple co-morbidities and was prescribed steroid inhalers for suspected asthma. Her type 2 diabetes mellitus, previously well controlled on metformin, had worsened over a short period of time (48 to 85 mmol/mol). On examination, she was obese (weight 82 kg, BMI 43 kg/m2), hypertensive (155/78 mmHg); rest of the examination was unremarkable. The blood test revealed undetectable cortisol...

ea0059p183 | Reproduction | SFEBES2018

Impact of ethnicity on the change in total testosterone, haematocrit and prostate-specific antigen with Testosterone undecanoate treatment

Kempegowda Punith , Quinn Lauren , Rayachaudhari Anupama , Shepherd Lisa , Kauser Samina , Chandan Joht Singh , Thomas Tom , Rahim Asad , Bates Andrew

Background: Current guidelines recommend regular monitoring of total testosterone, haematocrit and prostate-specific antigen (PSA) when androgen-deficient males are commenced on testosterone replacement therapy (TRT). The aim is to restore serum total testosterone to the mid-normal range, whilst maintaining haematocrit and PSA at the recommended levels. Limited studies have assessed the impact of ethnicity on these biochemical parameters.Aim: To measure ...