Endocrine Abstracts

We present the case of a 26 year old female who presented unusually at the age of 19 with left basal pneumonia. This was deemed to resolve on follow up chest X-ray, however she was given a diagnosis of asthma and used a salbutamol inhaler for wheeze. She re-presented with a left lower lobe pneumonia in 2018, which did not resolve with antibiotics. She was re-admitted a month later and noted to have a left lower lobe collapse. She underwent a bronchoscopy which showed a proxima...

Current trust protocol for the Short Synacthen Test (SST) is to perform cortisol levels at 0, 30 min and 60 min; there is a variation in this policy in different trusts. This quality improvement project determined if the 60 min test was significant and, if so, in what proportion of patients. A further aspect of the audit was in regards to determining if the number of SSTs in the trust could be reduced. We investigated every adult having a SST run through the SWFT laboratory du...

Diffuse Idiopathic Pulmonary Neuroendocrine Cell Hyperplasia (DIPNECH), which was formally recognised in 1992, has been described as an idiopathic pre-invasive condition that may co-exist with carcinoid tumours. Classically it has been described in women with predominantly obstructive lung function and not in association with smoking. Although many have stable disease, in some documented cases there has been progressive lung disease leading to the need for lung transplant. The...

We present the case of a 19 year old female who presented to A&E with a three week history of nausea, vomiting and constipation. She was noted to have hypercalcaemia at 4.11 mmol/l. There was no family history of note and prior to this illness she had been fit and well with no regular medications. Investigations revealed a suppressed PTH of <0.6 pmol/L. U&E, vitamin D, TSH, serum ACE and cortisol were within normal range.Examination revealed ...