Endocrine Abstracts

Background: Phaeochromocytoma are rare catecholamine secreting tumours and may present with hypertension, orthostatic hypotension, tachycardia and even cardiogenic shock. These tumours can easily be missed particularly in patients presenting with other disorders. We present a case of a patient with severe community acquired pneumonia who despite overwhelming sepsis was severely hypertensive.The case: JP was a 33-year-old man who was previously fit and we...

Background: The short Synacthen test (SST) is used primarily to diagnose adrenal insufficiency (AI), with hyponatraemia being among the commonest indications. Given the national shortage of tetracosactide and following cases of test mismanagement highlighted by our Biochemistry department, we investigated the indications, appropriate patient selection and performance of this test.Methods: A retrospective analysis of 117 cases identified to have a SST per...

Introduction: Hypoparathyroidism is normally treated with calcium salts and activated vitamin D. Here we report a case where synthetic 1–34 PTH (teriparatide) and i.m. vitamin D was successful in treating a case of primary hypoparathyroidism resistant to conventional treatment.Case report: A 16-year girl presented to the emergency department with vacant episodes and mild confusion. Her childhood was uneventful until the age of 12 when she developed ...