Searchable abstracts of presentations at key conferences in endocrinology

ea0044ep31 | (1) | SFEBES2016

Hypercalcaemia due to Pelvic Sarcoidosis

Burkert Julia , Evans Jane , Neary Nicola

A 51-year-old lady presented as an emergency with disabling, recurrent hypercalcaemia in July and August, 2015 with a peak corrected calcium of 3.94 mmol/l (normal range 2.2–2.6). She had been diagnosed with a stage 1A endometrial cancer, treated with hysterectomy and bilateral salpingo-oophorectomy in April 2014. Significant pelvic and left groin lymphadenopathy was noted, and was found to be enlarging on surveillance CT of July 2015. She was also found to have a left ki...

ea0028p333 | Steroids | SFEBES2012

Recovery of the HPA axis after Prolonged Exogenous Steroids - Experience with Three Cases

Neary Nicola , Collins Michael , Abraham Smita , Nieman Lynnette

Exogenous glucocorticoids lead to suppression of the HPA axis via negative feedback on the hypothalamus and pituitary and may be associated with increased morbidity and mortality (Wei L. Ann Intern Med. 2004). Many patients whose steroids are no longer required for their underlying disease find withdrawal challenging. Presentations: Case 1: 68-year old male treated with steroids for hepatic graft versus host disease following a stem cell transplant for EBV-lymphoproliferative ...

ea0013p170 | Diabetes, metabolism and cardiovascular | SFEBES2007

A case of renal artery stenosis presenting with polyuria and polydipsia

Tan Tricia , Neary Nicola , Meeran Karim , Hatfield Emma

A 46-year-old lady presented with a short history of thirst and polyuria. She had a past history of hypertension. Diabetes mellitus was ruled out as she had normal blood glucose levels. She was found to be normocalcaemic but hypokalaemic. In view of the latter finding and her hypertension, her plasma renin activity and aldosterone was measured, and found to be 45 pmol/ml/hr and 410 pmol/l respectively (aldosterone:PRA ratio of 9.1). The diagnosis of secondary hyperaldosteronis...

ea0031p125 | Clinical practice/governance and case reports | SFEBES2013

Nephrogenic diabetes insipidus caused by lithium toxicity

Kyriacou Christopher , De Silva Akila , Walker Alice , Behary Preeshila , Zac-Varghese Sagen , Massie Nicholas , Naeem Temoor , Meeran Karim , Neary Nicola

A 59-year-old gentleman with schizoaffective disorder, treated with long-term lithium therapy and depot fluphenazine, underwent elective cystectomy and ileal conduit formation for transitional cell bladder carcinoma.Post operatively, he developed acute renal impairment, evidenced by a fall in eGFR from 68 to 26 ml/min per 1.73 m2. This resulted in accumulation of lithium to a toxic level of 1.82 mmol/l (0.4–1.0); despite stopping lithium,...