Searchable abstracts of presentations at key conferences in endocrinology

ea0031p382 | Thyroid | SFEBES2013

An unusual association with autoimmune hypothyroidism

Overend Louise , Furlong Niall , McNulty Steven

Background: Untreated hypothyroidism may be associated with cutaneous signs including coarse, dry skin and hair loss. Myxoedema (also known as thyroid dermopathy) is usually associated with Graves’ thyrotoxicosis but has been reported in patients with hypothyroidism. We describe an unusual skin disorder in a patient with autoimmune hypothyroidism, initially misdiagnosed as myxoedema.Case: A 41-year-old female with an extensive medical history includ...

ea0013p22 | Clinical practice/governance and case reports | SFEBES2007

The steroid mask

Saunders Simon , McNulty Steven , Hardy Kevin

We describe two similar but distinct cases of newly presenting coexistent adrenocortical insufficiency and type 1 diabetes.Case 1; an 18 yr old woman presented with a two week history of polydipsia, polyuria and accelerated weight loss. Random glucose 20.2 mmol/L but no evidence of ketoacidosis. She was thin, pigmented, hypotensive and dehydrated and confirmed one years weight loss, lethargy, abdominal pain and occasional vomiting. Short synacthen test c...

ea0034p79 | Clinical practice/governance and case reports | SFEBES2014

Patient feedback on receiving copies of clinic correspondence

Narayanan Ram Prakash , Chiran Preeti , McNulty Steven J , Shankar Upendram Srinivas , Furlong Niall

Background and aim: The Department of Health and NHS Plan both recognise that sending patients copies of clinic correspondence can help inform and empower them. At St Helens and Knowsley Teaching Hospitals NHS Trust, Endocrinology Clinic we routinely provide patients with a copy of the clinic correspondence sent to their General Practitioner (GP), unless patients specifically opt out. Our aim was to evaluate patients’ views on receiving such copy correspondence following ...

ea0034p388 | Thyroid | SFEBES2014

A rare cause of clinical hypothyroidism: thyroid hormone resistance

Narayanan Ram Prakash , Chiran Preeti , Al-Jubouri Mohammad , McNulty Steven , Furlong Niall

Thyroid hormone resistance is a rare but recognised cause of clinical hypothyroidism. We explain a case of clinical hypothyroidism that was associated with thyroid hormone resistance.A 48-year Caucasian female with no known personal or family endocrine history was referred with a 12-month-history of weight gain and increased tiredness. Past history included depression and osteoarthritis, with regular medications being NSAIDs and amitryptiline. There was ...

ea0028p5 | Bone | SFEBES2012

Bone mineral density in a clinic-based cohort of hypogonadal men

McLorinan Joanna , Overend Louise , Mason Ryan , Mohamed Yunus Ajmal , McNulty Steven , Furlong Niall , Srinivas-Shankar Upendram

Background: Male hypogonadism is associated with reduction in bone mineral density (BMD). This study aimed to determine the epidemiology of low BMD in a clinic-based cohort of hypogonadal men.Methods: This was a retrospective, cross-sectional observational study of 152 patients (≥18 years with testosterone(T) ≤11 nmol/L) who were consequently reviewed in an endocrine clinic. Data was extracted from electronic patient records and included base...

ea0028p293 | Reproduction | SFEBES2012

Prevalence of modifiable risk factors among a clinic-based cohort of secondary hypogonadal men

Mclorinan Joanna , Overend Louise , Mohamed Yunus Ajmal , Mason Ryan , McNulty Steven , Furlong Niall , Srinivas-Shankar Upendram

Background: Male hypogonadism is commonly caused by hypothalamo-pituitary testicular disease. The effect of modifiable risk factors (obesity, alcohol, smoking, prescribed medications and recreational drugs) on secondary hypogonadism in a clinic-based cohort is unclear. The aim of this study was to ascertain the prevalence and effects of modifiable risk factors on secondary hypogonadism.Method: This was a retrospective, cross-sectional observational study...

ea0070aep52 | Adrenal and Cardiovascular Endocrinology | ECE2020

Ambulance alert system enabling pre-hospital parenteral steroids for patients with adrenal insufficiency

Westall Sam , Sullivan Heather , Rawsthorne Emma , Beesley Carl , Collins John , Furlong Niall , McNulty Steven , Bujawansa Sumudu , Narayanan Ram Prakash

Background: For patients in an adrenal crisis, the timely administration of parenteral hydrocortisone can be life-saving. Data from the Addison’s Disease Self-Help Group found that a large proportion of adrenal crises occur out of hospital, with many patients relying on the emergency services for initial parenteral hydrocortisone administration. Despite regular patient education (including parenteral hydrocortisone self-administration) and recommendations to wear steroid...