Searchable abstracts of presentations at key conferences in endocrinology

ea0094p393 | Thyroid | SFEBES2023

Challenging graves disease (GD) case

Khalid Maha , Macklin Andrew

GD is a common thyroid disorder which in majority of cases respond to medical treatment with thionamides.A proportion of these patients will need definitive treatment with either radioiodine ablation or total thyroidectomy. We present a case of a 21 yr old woman with a year history of overt thyrotoxic symptoms. She lost 2 stones of weight, had palpitations, heat intolerance and noticed shaky hands. On examination:She had large symmetrical goitre with bruit, tachycardic and swe...

ea0086p293 | Thyroid | SFEBES2022

Pfizer vaccine induced subacute thyroiditis

Khalid Maha , Sivappryian Siva , Malik Mohammed

31 years old lady with no past medical history or family history of thyroid disease had her first dose of Pfizer vaccine and few days later she presented unwell, Febrile with painful swelling in the neck. She was thought to have Covid because of fever. Examination revealed tender thyroid enlargement with positive bruit and Tachycardia. Investigations showed florid thyrotoxicosis with TSH: < 0.02, fT4: 60.0, CRP: 60, rest of investigation: normal, TRab and TPO AB: pending, ...

ea0077p167 | Endocrine Cancer and Late Effects | SFEBES2021

Novel management of resistant hypoglycaemia in a patient with malignant Insulinoma

Farhan Malik Mohammad , Khalid Maha , Sivappriyan Siva , Kumar Jesse

An 82-year-old lady admitted after multiple episodes of collapse and her blood sugar levels were noted to be less than 2.0 mmol/l. A supervised controlled fasting test was performed and results were consistent with Insulinoma. Imaging revealed a mass in the tail of the pancreas with metastasis to the liver. Liver biopsy confirmed the diagnosis of a poorly differentiated neuroendocrine tumour. She continued to have hypoglycaemic episodes which were difficult to manage. Dietary ...

ea0077p257 | Thyroid | SFEBES2021

Hashimoto’s Encephalopathy: organic psychosis vs catatonic schizophrenia

Khalid Maha , Malik Mohamed , Anandappa Samantha , Sivappriyan Siva , Kumar Jesse

32 year old female with no prior past medical problems presented to hospital with a two week history of rapid onset delusional psychosis with religious themes, paranoid ideas and rapidly developing into catatonia. There was no previous history of psychiatric disorders. On physical examination the Glasgow Coma Score (GCS) was 15 and she was responding to visual hallucinations; speaking to imaginary person and reported seeing objects. She was afebrile and bedside observations we...

ea0081p17 | Adrenal and Cardiovascular Endocrinology | ECE2022

Bilateral adrenal haemorrhages secondary to Rivaroxaban on a background of p-ANCA vasculitis

Farhan Malik Mohammad , Sivappriyan Siva , Kumar Jesse , Anandappa Samantha , Iqbal Maliha , Khalid Maha

Background: A 73-year-old female presented to the hospital with a 3-day history of right upper quadrant abdominal pain and episodes of vomiting. Her past medical history included insulin treated Type 2 diabetes diabetes, deep venous thrombosis for which she was on rivaroxaban, COPD, right leg angioplasty and previous p-ANCA vasculitis. She also had flank tenderness and was noted to be hypertensive with a blood pressure of 225/93mmHg. A CT scan of the abdomen identified a new 4...

ea0073aep751 | Thyroid | ECE2021

Topiramate Induced Hyperthyroidism –? New emerging evidence.

Farhan Malik Mohammad , Khalid Maha , Kumar Jesse , Sivappriyan Siva , Anandappa Samantha

Case PresentationA 25-year-old lady presented with symptomatic hyperthyroidism. She had a 4–6-week history of unexplained weight loss, pain in her neck and difficulty swallowing. Bloods confirmed mild hyperthyroidism with TSH 0.19 mU/l (reference range 0.27-4.2) with free T4 24.4 pmol/l (reference range 12.0-22.0), and she was commenced on carbimazole. There was no evidence of inflammation with CRP < 1 mg/l. Her mother had a thyroidectom...