Endocrine Abstracts

A 69-year-old man was referred to Endocrine clinic after presenting to his GP with dizziness, syncope, and fatigue. 0900 h cortisol was low at 39 nmol/l. The remainder of the anterior pituitary profile was unremarkable. He had been diagnosed with HIV in 1997 and was treated with highly active anti-retroviral therapy (truvada 1 OD, ritonavir 100 mg OD, and darunavir 800 mg OD) in addition to acyclovir 400 mg OD with control of his CD4 count and viral load. In addition, treating...

A 55-year-old male was referred to the endocrine clinic in October 2006 with a 6 month history of reduced libido, lethargy and right sided retro-orbital headaches. He was otherwise well and not on any medications. Examination revealed gynaecomastia, but no other cutaneous stigmata of endocrinopathies and visual fields were full to confrontational testing.Prolactin was elevated to 4791 mU/l, and a subsequent MRI confirmed a macroadenoma measuring 8×1...