Endocrine Abstracts

We report an interesting and important case of hypopituitarism secondary herpes encephalitis and available literature evidence.Case history: Twenty-one year old gentleman admitted to tertiary neurosurgical unit with excessive water intake, feeling tired, increased sleepiness, a few weeks history of confusion and ‘strange behaviour’. He was oriented in person but not in place, had high temperature.He had lumbar puncture, C...

Primary hypothyroidism and hypoadrenalism may occur concomitantly as part of autoimmune endocrine syndromes. Thyroxine replacement without steroid replacement can precipitate fatal adrenal crisis in this subgroup of patients. We report two patients with autoimmune primary hypothyroidism presenting with acute adrenal crises after commencing thyroxine replacement.Case 1: A 36-year-old patient with type 1 diabetes for 15 years was admitted with vomiting, ab...