Searchable abstracts of presentations at key conferences in endocrinology

ea0015p182 | Endocrine tumours and neoplasia | SFEBES2008

Pheochromocytoma: a rare but important cause of hypertension in pregnancy

Nethaji Chidambaram , Baynes Chris

Hypertension in pregnancy is common and is usually caused by preeclampsia. Catecholamine-producing tumours are very infrequent in pregnancy, but a high index of suspicion is needed to detect this condition with high maternal and foetal mortality.We report a case of undiagnosed pheochromocytoma, complicated by multisystem failure.A 32-year-old lady during her second pregnancy was referred to the obstetricians with hypertension at 26...

ea0015p241 | Pituitary | SFEBES2008

Case report: recurrent lymphocytic hypophysitis in pregnancy

Suresh Damodharan , Baldeweg Stephanie , Nethaji Chidambaram

Introduction: Lymphocytic hypophysitis is a rare inflammatory disease of the pituitary gland. The aetiology is unknown though probably of autoimmune origin. This condition usually occurs in women during pregnancy or in the post partum period. Recurrent disease in pregnancy is rare.Case report: We present a 35-year-old patient of African origin who initially presented in 2004 at 12 weeks gestation with headaches, a third nerve palsy but no visual f...

ea0015p268 | Pituitary | SFEBES2008

Nelson’s syndrome! is chemotherapy useful?

Nethaji Chidambaram , Suresh Damodharan , Baldeweg Stephanie

Nelson’s syndrome is a recognised complication of bilateral adrenalectomy for Cushing’s disease. The treatment of this condition can be extremely difficult. We report a case who failed to respond to traditional treatments, was given a novel chemotherapeutic agent temozolomide.A 50 years old lady was diagnosed with pituitary dependent Cushing’s disease in 1998. She underwent transphenoidal hypophysectomy (TSS) twice, followed by conventiona...

ea0044ep45 | (1) | SFEBES2016

An Unusual Cause of Hypoglycaemia

Law Steven , O'Shea Triona , Hyatt Penelope , Garg Anukul , Nethaji Chidambaram

An 84 year old female with a known history of chronic kidney disease (stage IV) and benign lung tumour presented to the Emergency Department with collapse. She had suffered recurrent collapse over the previous 2 years. Of note she reported significant weight gain during this period. She was diagnosed with symptomatic hypoglycaemia (venous blood glucose 2.8 mmol/l). She was admitted to the ward and found to have recurrent hypoglycaemia both when fasting and post-prandial.<p...

ea0044ep102 | (1) | SFEBES2016

Thyrotoxic periodic paralysis in a Nigerian male

Vogazianou Artemis , O'Shea Triona , Hyatt Penny , Nethaji Chidambaram , Garg Anukul

Introduction: Periodic paralysis is a rare condition characterized by muscle weakness in the presence of triggers including cold, heat, high carbohydrate meals or physical activity. It is classically described in the presence of profound hypokalaemia; when this occurs in conjunction with thyrotoxicosis it is termed thyrotoxic periodic paralysis.Case history: A 30-year old Nigerian man presented with a 3 h history of inability to move, on a background of ...

ea0038p483 | Thyroid | SFEBES2015

Radioiodine therapy in benign thyroid disease

Nicholson Jill , Catling Finn , Moorthy Myuri , Garg Anukul , Chidambaram Nethaji

Introduction: Radioiodine is a safe and effective treatment for benign thyroid disease. It aims to treat hyperthyroidism and achieve a euthyroid state. Radioiodine is indicated in cases of hyperthyroidism caused by Graves’ disease or toxic goitre (solitary toxic adenomas or multi-nodular goitre). In practice there has been concerns about long term safety, worsening of eye disease and weight gain with this treatment.Aims: To audit outcome, management...

ea0070aep1049 | Hot topics (including COVID-19) | ECE2020

Diabetic emergencies during COVID-19 –A multi-centre experience

Qamar Sulmaaz , Aziz Umaira , Nasir Sadia , Armeni Eleni , Zosmer Maya , Joseph Tobin , Crawley Eleanor , Tutty Susan , Lynch Jo , Bouloux Pierre , Yousseif Ahmed , Khan Sidrah , Menon Ravi , Nethaji Chidambaram , Karra Efthimia

Introduction: Diabetes mellitus is as a major contributor to disease severity and mortality in patients with Covid-19 infection, as the estimated increase in risk of death in hospitalised patients is 3.5-times (for T1DM) and 2.03-times (for T2DM).This retrospective analysis recruited 35 patients from three London hospitals who presented with diabetic emergencies i.e. diabetic ketoacidosis (DKA), Hyperglycaemic hyperosmolar state( HHS), presence of ketone...