Endocrine Abstracts

Introduction: Clinicians are hopeful for substantial weight loss after surgical intervention for obesity, with the funding decisions relatively easier to achieve in those with diabetes, there is a significant proportion of these patients undergoing procedures. In contrast to most outpatient encounters, a 20 kg drop in weight is looked upon favourably between follow-ups where it would have risen the spectre of pathology elsewhere. We present the following case that illustrates ...

Introduction: Levothyroxine is the globally preferred therapeutic compound for primary hypothyroidism. Due to expense and poor efficacy, Liothyronine is not used as first line treatment. This study was formed to answer the ESE’s recent call for data on symptomatic response to Liothyronine and predictors of that response.Method: Patients with failure of symptomatic relief on levothyroxine were invited to try Liothyronine. 23 patients were enrolled. T...

Ingestion of excessive amounts of liquorice may cause significant electrolyte imbalances due to a mimicking of mineralocorticoid excess. A 70-year-old female attended hospital with palpitations and was found to have hypokalaemia. She was documented to have multiple supraventricular ectopic beats coinciding with her feeling of palpitations, This was precipitated by toxic consumption of liquorice, more than 2 kg in 72 h, to celebrate her 70th birthday. All abnormaliti...

We present the case of a 57 year old male that presented to a tertiary centre with a week’s history of lethargy, muscle cramps and peri-oral paraesthesia. He was otherwise fit and well. His examination revealed no evidence of Chvostek’s, Trousseau’s or tetany. His reflexes were not assessed. Initial electrolyte screening confirmed a hypocalcaemia with a serum adjusted calcium of 1.47 mmol/l (2.2–2.6), his phosphate was elevated at 1.64 mmol/l (0.8–1.5)...