Searchable abstracts of presentations at key conferences in endocrinology

ea0036oc2.1 | Oral Communications 2 | BSPED2014

Unilateral gynecomastia: an unusual presentation of Peutz Jegher's syndrome

Niranjan Usha , Wright Neil

Background: Peutz JegherÂ’s syndrome is a rare condition with substantial cancer risk. Testicular cancer risk is 9%, the commonest being pre-pubertal large cell Sertoli cell tumour (LCST) which usually presents with bilateral gynecomastia. Here we present a case of Peutz JegherÂ’s syndrome with LCST who presented with unilateral gynecomastia.Case: A 5-year-old boy was referred to our endocrine service with unilateral gynecomastia. He had right si...

ea0036oc5.1 | Oral Communications 5 | BSPED2014

Congenital adrenal hyperplasia: a survey on the current practice in UK

Niranjan Usha , Natarajan Anuja

Introduction: Congenital adrenal hyperplasia (CAH) varies significantly in clinical presentation and progression causing challenges in management. The ultimate goal of treatment is to achieve normal growth and development while avoiding adrenal crisis and hyperandrogenism.Aim: Our aim was to ascertain the current practice in the UK on CAH management in children and compare these with the endocrine society recommendations.Methods: A...

ea0085p17 | Diabetes 1 | BSPED2022

Is there an increased incidence of type 1 diabetes in correlation with SARS- COVID 19 infection?- an east of england network survey

Lim Chun , Eisenhut Michael , Niranjan Usha

Background: Recent studies have reported a correlation between the increase in incidence of Type 1 Diabetes (T1DM) in children and young people (CYP) and SARS-COVID19 Infection.Aims and objectives: To study if there is an increase in TIDM incidence in CYP (aged 0-18yrs) post-covid19 (April 2020- March 2021) in East of England (EOE) region compared to previous years (April 2018- March 2020). To identify a correlation between T1DM incidence and the UK COVI...

ea0036oc7.3 | Oral Communications 7 | BSPED2014

Do diabetes teams give consistent advice on self-management and does it relate to glycaemic control? Yorkshire and Humber Paediatric Diabetes network survey

Niranjan Usha , West James , Price Katherine

Objectives: Glycaemic targets set by diabetes teams appear to have an impact on glycaemic control. Our objective was to identify if there is consensus between and within teams in our network on glycaemic targets and whether this correlates with HbA1c outcomes.Methods: An online survey was sent to all network members requesting an independent response on the diabetes self-management advice given to families. Three patient groups were considered: children ...

ea0066p11 | Bone | BSPED2019

Hypercalcaemia as a presenting feature of sarcoidosis: the need for an open mind

Mallya Meera , Niranjan Usha , Adler Beryl , Nathwani Nisha

Sarcoidosis is a rare multisystem granulomatous disease that most commonly affects the lungs and skin, and can also affect eyes and lymph glands. We describe an unusual case of sarcoidosis presenting with hypercalcemia, causing diagnostic challenges. A 5year old boy was incidentally found to have asymptomatic hypercalcaemia during a routine clinic review for failure to thrive. Apart from a recent Influenza A infection, when he was found to have normal calcium levels and severe...

ea0036P8 | (1) | BSPED2014

Do babies born to mothers taking antenatal prednisolone require screening for adrenal suppression?

Niranjan Usha , Elder Charlotte , Franklin Victoria , Gibson Alan , Wright Neil , Dimitri Paul

Background: Limited evidence exists regarding the effect of antenatal prednisolone (ANP) on neonatal adrenal function. Our regional neonatal unit screens these babies by measuring three random serum cortisol levels 8 h apart on day 3 of life. Adrenal function is considered adequate if two cortisol levels are >100 nmol/l. Those with inadequate random cortisol levels undergo a low-dose Synacthen test (LDST). Our survey of UK tertiary Paediatric Endocrinology centres revealed...