Searchable abstracts of presentations at key conferences in endocrinology

ea0019p44 | Clinical practice/governance and case reports | SFEBES2009

Lessons from a case of pituitary thyrotrophinoma I: not all TSH-omas are macroadenomas II: thyroid autoimmunity can be associated III: associated central hyperthyroidism can be subclinical

Arutchelvam V , Neely RDG , Mitra D , Hill J , Carrie S , Gurnell M , Quinton R

A 64-year-old lady presented with weight gain, tiredness, palpitations and tremor. She had no goitre and no other extra thyroidal manifestations. Both TSH and thyroid peroxidase antibodies (>1300) were elevated and she was treated by her GP with Thyroxine 50 mcg daily. She felt a lot worse on this, so it was discontinued and a full thyroid hormone profile was checked (see Table 1) which prompted referral; to Endocrinology.Other pituitary hormone leve...

ea0013p220 | AMEND Young Investigator's Award | SFEBES2007

Diagnosing early acromegaly: the pre-test probability of disease is strongly influenced by the presence or absence of other associated diseases

Bhattacharya Beas , Syed Akheel , Razvi Salmon , Johnson K , Hill J , Carrie S , Mitra D , Quinton Richard

A 44-year-old man referred with erectile dysfunction was found to have hypogonadotrophic hypogonadism (HH), but otherwise apparently normal anterior pituitary function (LH 1.6 & FSH 2.7 IU/l; T 3.4 & cortisol 516 nmol/l; PRL 103, GH 5.5 & TSH 2.8 mU/l; f-T4 13, f-T3 4.8 & f-T 128 pmol/l; ferritin 103 ug/l). He appeared normally virilised, with central obesity (BMI 36 kg.m−2, collar size 46 cm) and symptomatic sleep apnoea (SA). MRI showed a rig...

ea0010p9 | Clinical case reports/Governance | SFE2005

Ethics and pragmatism versus DoH guidelines: what to do?

Ibrahim I , Lim E , Coebergh J , Jenkins A , Lewis J , Mitra D , Quinton R

Clinical case: A 30-year-old Eritrean presented as an emergency to the orthopaedics surgeons with radicular back pain. Following L3/L4 spinal decompression, he was noted to be classically acromegaloid and was transferred to the Endocrine Unit, where a mild bitemporal upper quadrantinopia was noted. GH was massively elevated at 1200 mU/L, IGF1>130 nmol/L, with associated corticotroph and gonadotroph insufficiencies requiring replacement. MRI showed a large pituitary adenoma...

ea0011p85 | Clinical case reports | ECE2006

Langerhans cell histiocytosis: management dilemma for the adult endocrinologist!

Ibrahim IM , Lim E-L , Razvi S , Pearce SHS , Leach N , Quinton R , Mitra D , Wilsdon J , Baborie A , Johnson S , Burt AD , Wood K , Jones G , Windebank K , Pritchard J , Record CO , Bennett SMM

Clinical case: 24-year-old student nurse referred to the liver unit with a 6-month history of pyrexia, cognitive dysfunction and abnormal liver function tests. ERCP was normal; CT scan suggested multiple liver deposits; histology showed both fatty infiltration and focal cholangitis. Medical history included type 1 diabetes since age 7yrs; an unusual skin rash that spontaneously remitted 4 years previously; recurrent vulval ulceration, variously ascribed to candida and/or excor...