Endocrine Abstracts

Introduction: Persistent symptoms of hypothyroidism or raised levels of thyroid stimulating hormone (TSH) despite adequate levothyroxine replacement (>1.6 µg/kg body weight) suggest treatment-refractory hypothyroidism. Adherence to treatment and conditions that might impair absorption or increase demand for levothyroxine should be explored.Case: A 51-year-old man presented with raised TSH levels despite being on 425 mg daily of levothyroxine. He...

Background: The prevalence of iodine-based contrast media-induced (ICM-induced) thyroid dysfunction varies (1-15%). Contrast-induced hyperthyroidism is predominantly found in iodine-deficient regions and in patients with underlying nodular goitre or latent Graves’ disease. Beta-blockers are first-line therapy, but anti-thyroid medication are used for severe symptomatic cases.Case Report: A 79-year-old man presented with a 4-day history of bilious vo...