Endocrine Abstracts

A 36 year old lady referred to the endocrinology clinic, with a history of tiredness, fatigability and abnormal thyroid function. She had no significant past medial history, no family history of thyroid disease and her only medication was an oral contraceptive pill (Ovranette). She had experienced fatigue over a period of 5 years, since returning from a visit to Pakistan, during which she had developed diarrhoea which had persisted for about 12 months. Thyroid function tests a...

Case history: A 50-year-old lady, on Lithium for 30 years, presented with a history of progressively increasing thirst since 12 months; associated with polyuria and nocturia. She had been having some joint aches and was finding it more difficult to get up and down stairs. She was found to be hypothyroid few months back and prior to that had been falling asleep easily. There had been an improvement in her energy levels after starting Levothyroxine. She gave no history of renal ...

Case History: A 74-year-lady with a background of COPD presented to the emergency department with precordial chest pain radiating to the left arm. The pain had been ongoing since a few hours, and was associated with diaphoresis. She was hemodynamically stable, with no tachycardia Investigations: ECG showed significant ST-segment elevations, predominantly in the chest leads, with elevated troponins. Assuming it to be STEMI, she was transferred to the tert...

Coeliac disease is more common in people who have Type 1 diabetes mellitus (DM) because of their autoimmune co-existence. Between 4 and 9% of people with Type 1 DM will also have coeliac disease. The updated NICE guideline (NG 20 coeliac screening) recommends that adult with Type 1 DM should be tested for coeliac disease at diagnosis and retested if any symptoms of coeliac disease develop.Study method & Result: Newly...

Coeliac disease is more common in people who have Type 1 diabetes mellitus (DM) because of their autoimmune co-existence. Between 4 and 9% of people with Type 1 DM will also have coeliac disease. The updated NICE guideline (NG 20 coeliac screening) recommends that adult with Type 1 DM should be tested for coeliac disease at diagnosis and retested if any symptoms of coeliac disease develop.Study method & Result: Newly...

A 20-year-old man with a 5-year history of poorly controlled type 1 diabetes presented with epigastric pain, bloating and weight loss. He had attended DAFNE recently and had been commenced on an insulin Pump resulting in improvement of HbA1C from 114 to 76 mmol/mol over a 4-month period. Blood pressure was elevated (157/108 mmHg) with a resting tachycardia of 110. Haemoglobin was elevated at 18.7 g/dl. 24 h blood pressure monitoring revealed an average diastolic blood pressure...

J was born at term (2.62 kg). She presented aged six months with severe faltering growth, (weight 5.1 kg, length 57.3 cm, OFC 39.0 cm). Investigations showed elevated prolactin (1838 mIU/l) and undetectable IGF1 but were otherwise normal. Her karyotype was 46XX. A brain MRI was normal. By 11 months of age she had evident developmental delay and dysmorphic features (triangular face; hypertelorism; synophrys; broad nasal root; short nose with rounded tip; carp like mouth; short ...