Endocrine Abstracts

Fifty-five years old patient with background of type 2 DM, referred by the GP with low serum Cortisol levels (<50), when was investigated for his ongoing symptoms of tiredness with low energy level. He also noticed reduced sexual drive and erectile dysfunction worsening over years along with reduced shaving frequency, to twice a week and sparse hair growth on his body. He denied any trouble with his peripheral vision or any significant headaches, but did feel dizzy on occa...

Forty-three years old lady with background of hypertension was seen in the GP surgery with hirsutism noticed over years. She was referred to the gynaecologist for further work up who in turn discharged her back suggesting possibility of PCOS in view of her biochemical and clinical findings but with no radiological evidence of ovarian cysts.Her PMHx was significant for mild asthma though rarely requiring inhaled steroids.Previously ...

Introduction: Hypercalcemia is a common clinical abnormality seen in clinical practice. One of the leading causes of hypercalcemia is Primary hyperthyroidism from a parathyroid adenoma. While the ectopic parathyroid tissue is typically found in the thymus and anterior mediastinum, Intrathyroidal parathyroid adenoma is a challenging cause of primary hyperparathyroidism leading to persistent hypercalcemia even post-surgery.Case His...

We present a case of 18 Year male with autoimmune polyendocrine syndrome who presented with seizures to A and E presumed secondary to his profound severe hypocalcemia. Adjusted calcium levels of 1.80 mmol/l.Background: Primary adrenal insufficiency, Hypoparathyroidism, Pancreatic insufficiency and malabsorption, Pernicious anaemia, Aspergers syndrome and Stem cell deficiency in the eye. On admission he received calcium gluconate stat doses which was foll...

Background: Electronic endocrinology advice and Guidance (e-Endo A&G) via NHS e-Referral Service was introduced at University Hospitals of Leicester NHS Trust (UHL) in March 2017 to address General Practitioners’ (GP) non-urgent endocrinology clinical concerns. Primary aims of the service, was to prevent inappropriate outpatient visits, avoid acute admissions and reducing length of time in resolution of queries.Objectives: To retrospectively eva...