Endocrine Abstracts

The case is presented of a 42 year old female who was admitted to hospital with an acute exacerbation of sarcoidosis. A CT of sinuses was performed which incidentally noted that the pituitary gland appeared enlarged. An MRI of the pituitary confirmed a moderately enhancing 21 × 26 × 22 mm pituitary macroadenoma which was displacing the chiasm superiorly. The patient reported that she had to increase the size of her wedding ring three times in the last three years and...

A 42 year old lady presented to the Endocrinology clinic with a longstanding history of exertional dizziness, increasing in frequency over the preceding two months. She reported marginal symptomatic improvement with the introduction of frequent carbohydrate rich meals. She was asymptomatic in the post-prandial period. She had no associated nausea, confusion, palpitations, diaphoresis, collapse or weight gain. She was on medication (SSRI) for anxiety. Her father and paternal gr...

Ectopic adrenocorticotropic hormone (ACTH) syndrome occurs in about 5–10% of all patients with ACTH-dependent hypercortisolism. We present the case of a 35 year old gentleman who presented with a six month history of progressive 16 kg weight gain and breathlessness. Pulmonary imaging revealed bilateral infiltrates suspicious for Pneumocystis pneumonia (PCP). Physical examination was concerning for Cushing’s syndrome, with facial plethora, easy bruisability and broa...