Endocrine Abstracts

Negative caloric balance and low body weight can impair pituitary function. This syndrome is well recognised in women, but it is less often diagnosed or considered in men. We present the case of a 16-year-old male who presented with increasing tiredness, bloating and inability to focus over a period of 3 months. He had been involved in regular sporting activities over last few years recently increased the physical activity focusing on fitness with a calorie deficit diet leadin...

Section 1: Case history: A 53 year old male of Chinese ethnicity presented to hospital with a fall and a long lie. He had a heavy meal for dinner, and he fell later in the evening after standing from the sofa. He lacked strength in his limbs and could not stand up again. He was on the floor for 7 hours before he could shuffle his way to the phone and call for help. On examination he had MRC grade. power in the proximal arms and MRC grade. hip. flexion. Sensation was normal. He...

Section 1: Case history An 86 year old female presented to hospital after being found on the floor and had profound lower limb oedema. She was treated for a urinary tract infection and possible heart failure. On examination she had significant hirsutism and bruised skin. She had a past medical history of BCC removal and primary hyperparathyroidism. Her ECOG performance status was 1–2. There was a family history of pancreatic cancer (father) and pancreatic neuroendocrine tumour...

A 74 year-old woman had 4 presentations to the hospital with severe symptomatic hypercalcemia despite intensive medical therapy. She had a background of right hemithyroidectomy, hypothyroidism and rheumatoid arthritis. She first presented with symptoms of muscle weakness, vomiting, confusion and muscle aches. Her initial test results showed an adjusted calcium level of 3.79 mmol/l and PTH of 28.1 pmol/l; she was treated with IV fluids, Pamidronate 60 mg and discharged home wit...