Endocrine Abstracts

A 69 year old man presented to the hospital after he fell from a 6 foot ladder. He was previously fit and well with no co-morbidities apart from a 55 pack year smoking history. He complained of right shoulder and hip pain. CT scan revealed fractures of the left 6th rib and right superior and inferior pubic rami. In addition, there was an incidental finding of a 5.2 cm in diameter abdominal aortic aneurysm (AAA) with no radiological evidence of a leak. He was treated conservati...

Patients with clinical hypothyroidism often complain of muscular symptoms i.e., cramps, weakness and fatigue. However, rhabdomyolysis triggered by severe hypothyroidism is rarely reported. In most cases, external triggers (use of statins or excessive exercise) can be easily identified and modified. In absence of beforementioned triggers, it is prudent to look for other causes of rhabdomyolysis. On the forefront, it would be crucial to exclude myocardial ischaemia, followed by ...

Introduction: Diabetes striatopathy (DS) is an extremely rare hyperglycaemic complication of diabetes with a prevalence reported as 1 in 100,0001. Though DS is commonly associated with a non-ketotic hyperglycaemic hyperosmolar state (HHS), it is occasionally reported in diabetic ketoacidosis (DKA). DS is known as non-ketotic hemichorea-hemiballismus due to its presentation with hyperkinetic movements but rarely presents as stroke-mimic2. Here we present a...

Objectives: To evaluate outcomes post radioiodine (I-131) therapy for hyperthyroidism at a tertiary hospital in a two-year period.Method: The local database (Leicester Clinical Workstation) was used to identify patients with hyperthyroidism who had received radioiodine therapy (RAI) between January 1st 2010 and December 31st 2011 and their records were retrospectively analysed.Results: 84 patients were identif...

Background: There is much debate about the best imaging modality for parathyroid adenoma. Parathyroid ultrasound is operator dependent and in skilled hands leads to localisation of tumour. Small adenomas can be difficult to detect and radiologists are helped by clinical and biochemical data to predict ease of adenoma detection. We investigated whether any factors could predict adenoma size.Methodology: This was a retrospective CWS analysis of patients wh...

A 70-year-old lady with known hypothyroidism and ischaemic heart disease (previous CABG) presented with tonic clonic seizures. Her BP was 245/110. She was admitted to the intensive care unit. MRI brain showed subcortical oedema with subarachnoid bleed in the left temporal parietal region. Investigation for malignant hypertension showed a solid mass measuring 17×17×11 cm completely replacing the left kidney on CT-scanning. She was discharged home on sodium valproate w...

Pituitary apoplexy is an uncommon, but well recognised clinical syndrome, which usually results from ischaemic or haemorrhagic necrosis of pituitary gland, which is frequently precipitated by an existing pituitary adenoma. Early diagnosis of this condition is essential as prompt management may be life and vision saving. We are highlighting a case of Pituitary apoplexy on long term Cabergoline for Prolactinoma.Case report: A 62 year old l...