Searchable abstracts of presentations at key conferences in endocrinology

ea0074ncc8 | Highlighted Cases | SFENCC2021

Invoking Occam’s razor: A case of familial partial lipodystrophy unifying multiple diagnoses

Sullivan Heather , Westall Sam , Khan Abidullah , Khan Ahtisha , Khan Alikhan , McNulty Sid , Furlong Niall , Narayanan Prakash , Balafshan Tala , Bujawansa Sumudu

Case history: A 25 year old primigravid woman was referred through to the Joint Antenatal clinic with a 15-year history of Diabetes Mellitus Type 2 treated with metformin. Her past medical history included polycystic ovarian syndrome, (causing significant hirsutism and amenorrhoea), non-alcoholic fatty liver disease, dyslipidaemia and hypertension (previously investigated for secondary causes). Her HbA1c was well controlled at 30 mmol/mol, and her Metformin had been discontinu...

ea0074ncc31 | Highlighted Cases | SFENCC2021

Resistance to thyroid hormone receptor-beta: diagnostic pitfalls

Khan Ahtisham Ali , Westal Sam , Bujawansa Sumudu , Sullivan Heather , Khan Abidullah , Narayanan Prakash , McNulty Sid

Section 1: A 77 year female was referred by her GP in May 2019 for abnormal thyroid function tests (TFT) which were requested due to new diagnosis of atrial fibrillation. The patient was otherwise asymptomatic and clinically euthyroid. Family History was negative for thyroid abnormalities. On enquiry, the patient revealed that she had abnormal thyroid function tests associated with a large goitre in 1970s and subsequently underwent partial thyroidectomy followed by radioactive...

ea0086p327 | Metabolism, Obesity and Diabetes | SFEBES2022

‘Don’t Let them dry’—Hyponatraemia in Covid-19 (a real-world analysis)

Alikhan Ahtisham , Westall Samuel , Khan Abidullah , Sullivan Heather , Kalavsky Matus , Olusoji Rahman , Kolackova Hana , Bujawansa Sumudu , Prakash Narayanan Ram

Background: The aetiology of hyponatraemia in SARS-CoV-2 (COVID-19) is complex. Early studies have suggested a syndrome of inappropriate anti-diuretic hormone picture. We undertook a real-world retrospective analysis of patients with hyponatraemia and COVID-19 hospitalised over a 12-month period and evaluated practice against European hyponatraemia guidelines to see if initial investigations and management were appropriate. Additionally, we evaluated whether hyponatraemia in C...

ea0074ncc63 | Highlighted Cases | SFENCC2021

Diagnostic conundrums: Severe hypoglycaemia in a non-diabetic individual

Westall Samuel , Sullivan Heather , Khan Abidullah , AliKhan Ahtisham , McNulty Sid , Furlong Niall , Narayanan Ram Prakash , Balafshan Tala , Bujawansa Sumudu

Case history: A 26-year-old female with a past medical history of migraines was admitted to the Emergency Department (ED) with severe hypoglycaemia after drowsiness was noted by her partner in the early hours of the morning. On initial paramedic assessment, the patient had a reduced Glasgow Coma Scale (13/15), hypoglycaemia (capillary blood glucose of 0.9 mmol/l [16.2 mg/dl]), hypothermia (34.3 degrees Celsius [°C]) and bradycardia (heart rate 41 beats per minute). The patient...