Searchable abstracts of presentations at key conferences in endocrinology

ea0077lb4 | Late Breaking | SFEBES2021

Not your regular incidentaloma

Iftikhar Sahar , Mukhtar Rasha , Bingham Emma

Adrenal Leiomyomas are very rare tumours. 20 cases have been reported to date. Their management remains difficult and challenging. They tend to present with flank or abdominal pain and have very little biochemical activity, if any.Case presentation: We present a case of a young 44 year old female. She was referred to Endocrinology services with a history of 2 weeks abdominal pain. She underwent an ultrasound organised in primary care which was suspicious...

ea0049ep1230 | Thyroid (non-cancer) | ECE2017

Keep calm and put on the emergency list: total thyroidectomy for refractory thyrotoxicosis

Al-Sharefi Ahmed , Ashraff Suhel , Elasaify Wael , Mukhtar Rasha

The standard management for Grave’s thyrotoxicosis includes the use anti-thyroid drugs, surgery and radioactive iodine treatment. In certain situations,alternative methods including bile acid sequestrants and therapeutic plasma exchange (TPE) have proven effective especially when other treatment modalities fail. We describe a case where conventional and alternative non-invasive measures failed to restore an euthyroid state and resorted to emergency thyroidectomy. A 49 yea...

ea0044ep13 | (1) | SFEBES2016

Pheochromocytoma in pregnancy

Krishnasamy Ganapathy Kavitha Dhevi , Ganguri Murali , Mahadasu Shilpa , Mukhtar Rasha

Introduction: Pheochromocytoma is extremely rare in pregnancy and occurs 1 in 54000 pregnancies. If undiagnosed, Maternal and fetal mortality amounts to 40–50%. Early detection and prompt treatment decreases the maternal and fetal mortality to <5% and <15% respectively. There are multiple and complex issues in managing this condition in pregnancy. We would like to present such a case with very good outcome.Case: 28-year-old woman was admitte...

ea0037ep953 | Thyroid (non-cancer) | ECE2015

Safety and efficacy of rapid thyroid blockade with Lugol's iodine in the pre-surgical management of Graves' thyrotoxicosis

Mohammed Azmi , Elsaify W , Mukhtar Rasha , Nag Sath

Introduction: A significant number of patients are intolerant of anti-thyroid drugs (ATD) and thyroidectomy remains the only treatment option available to patients who decline radioiodine as definitive therapy. As patients with poorly controlled thyrotoxicosis are at risk of developing thyroid storm, optimal pre-operative control of hyperthyroidism is essential. Rapid thyroid blockade (RTB) with the contrast agents sodium ipodate and iopanoic acid were attractive treatment opt...

ea0032p550 | Endocrine tumours and neoplasia | ECE2013

Steroid-induced psychosis as a manifestation of ectopic ACTH secretion from metastatic poorly differentiated neuroendocrine tumour

Zhyzhneuskaya Sviatlana , Mukhtar Rasha , Ashwell Simon , Nag Sath

Case report: A 65-year-old fisherman presented with altered mental status, agitation, generalised oedema, dyspnoea, liver impairment and severe persistent hypokalaemia (2.2 mmol/l). History: COPD, IPF (on steroids since May 2012), ex-smoker. Physical examination: deeply tanned, Cushingoid facies, severe proximal myopathy. Medications prior to admission: prednisolone 40 mg OD, furosemide 40 mg OD, inhalers, and lansoprazole. In a view of clinical and biochemical features of ste...

ea0028p357 | Thyroid | SFEBES2012

Five-year review of the management of Graves’ thyrotoxicosis

Mamoojee Yaasir , Vijayaraman Arutchelvam , Ashwell Simon , Bilous Rudy , Bountouni Ilia , Mukhtar Rasha , Nag Sath

Background: Autoimmune Graves’ disease is the most common cause of hyperthyroidism. Medical management of Graves’ thyrotoxicosis with thionamides is complicated by a reported relapse rate of about 60%.Aims: The aims of this study were to determine the relapse rate of patients treated with drugs as first line treatment for Graves’ disease and to assess the impact of patient demographics, serum free T4(fT4) and clinical characteristics on re...

ea0025oc1.8 | Young Endocrinologists prize session | SFEBES2011

TSH levels and thyroid hormone prescribing in primary care in the UK

Iqbal Ahmed , Taylor Peter , Panicker Vijay , Sayers Adrian , Greenwood Rosemary , Mukhtar Rasha , Evans Jonathan , Dayan Colin

Objective: Hypothyroidism is common and predominantly managed in primary care. Symptoms are non-specific, with thyroid function tests (TFT) required for diagnosis. We sought to investigate current practice in levothyroxine prescribing in primary care.Methods: We studied the initiation of levothyroxine using the General Practice Research Database (GPRD), the world’s largest database of anonymised medical records. Individuals with i) thyroid cancer ii...

ea0025p330 | Thyroid | SFEBES2011

Should individuals with a Thy 3 result always undergo surgery?

Green Jessica , Hunt Toby , Mukhtar Rasha , Ward Alexandra , Allen Kate , Robinson Anthony , Maddox Paul

Introduction: British Thyroid Association Guidelines state that the diagnosis of thyroid malignancy cannot be based on the results of an aspiration’s cytology alone and will usually require surgical removal for confirmation. There has been much debate about the management of indeterminate fine needle aspirations (Thy 3). Recent publications have reported that the prevalence of thyroid carcinoma following a Thy 3 result to be as high has 28%, emphasising the importance of ...