Endocrine Abstracts

A 44 year-old female presented to endocrine outpatient with 1-year history of 4 stone weight loss, heat intolerance, insomnia along with diplopia and sore and watery eyes. Her medical history includes IgG4 disease and rheumatoid arthritis, treated with prednisolone that had been stopped 6 months previously.On examination, she was clinically hyperthyroid with a resting tremor, tachycardia and sweaty palms. Eye examination showed bilateral proptosis and ch...

A 52-year-old male patient first presented in 2007 with symptoms of polyuria, polydipsia and muscle pains. Initial investigations revealed a corrected Ca2+: 3.45 mmol/l and PTH: 168 pmol/l. He was also vitamin D depleted so a diagnosis of severe primary hyperparathyroidism on a background of vitamin D deficiency was made and further investigations were requested to confirm the diagnosis. Unfortunately, the patient failed to attend all subsequent follow up appointmen...

Case history: A 69-year-old Caucasian male presented with persistent abdominal pain and was found to have a large right adrenal mass on CT. Interestingly his family history revealed that his daughter had been treated for Cushing’s disease. He was normotensive and denied classical symptoms of catecholamine excess. He had exertional dyspnoea in keeping with COPD. Subsequent tests were consistent with a secretory phaeochromocytoma and urine normetadrenaline 85,671 nmol/day (...