Searchable abstracts of presentations at key conferences in endocrinology

ea0099p480 | Diabetes, Obesity, Metabolism and Nutrition | ECE2024

Tolvaptan fortnightly can reduce hyponatraemia related inpatient admissions

Chaudhary Aparna , Sullivan Heather , Balafshan Tala , Prakash Narayanan Ram

Hyponatremia generally defined as a serum sodium of less than 135 mmol/l is the most common type of electrolyte imbalance found in older adults. Its mild to moderate forms can predispose patients to falls, fatigue and a general decline. Severe hyponatremia can contribute to seizures, confusion and death. We present a case of a 70-year-old lady with severe symptomatic chronic hyponatremia secondary to SIADH. She also had progressive Alzheimer’s dementia, anxiety, T1DM, hyp...

ea0086p39 | Bone and Calcium | SFEBES2022

An unusual case of severe hypercalcaemia due to treatment resistant Graves’ disease

Thuzar Aung Ei , Sheokand Ajasra , Prakash Narayanan Ram , Balafshan Tala , McNulty Sid , Furlong Niall , Bujawansa Sumudu

A 32-years-old lady was admitted with raised calcium. She had palpitation, sweating, 3 stones weight loss and neck swelling. She was diagnosed with Graves¬í disease 5 months ago. Her mother had history of thyroid disease but no family history of hypercalcaemia. She had a small goitre and lid lag on examination. On admission, adjusted calcium was 3.04 mmol/l. PTH was < 0.5 pmol/l. Phosphate, vitamin-D, kidney functions, cortisol, myeloma screen and ACE levels ...

ea0086p341 | Metabolism, Obesity and Diabetes | SFEBES2022

New onset diabetes triggered by use of growth hormone secretogogue for body building, a case report

Thuzar Aung Ei , Sheokand Ajasra , Westall Samuel , Balafshan Tala , Prakash Narayanan Ram , Bujawansa Sumudu

Introduction: Growth hormone secretogogues (GHS) are popular among body building communities as muscle bulking agents. We present an interesting case of new onset diabetes induced by a combination of GHS and selective androgen receptor modulators (SARMs).Case report: A 34-years body builder was referred by his GP due to a 3-week history of polyuria, polydipsia and fatigue. He had recently used one cycle of a combination tablet which contained Ibutamoren ...

ea0082oc8 | Oral Communications | SFEEU2022

Familial dysalbuminaemic hyperthyroxinaemia, a rare cause of discordant TFTs

Thuzar Aung Ei , Kohli Shuchi , Prakash Narayanan Ram , Furlong Niall , McNulty Sid , Bujawansa Sumudu , Westall Samuel , Hurst Janine , Balafshan Tala

Section 1: Case history: A 61-year-old lady was referred by her GP to our endocrine clinic with abnormal thyroid function tests (TFTs) incidentally identified in routine blood tests. She had no symptoms suggestive of thyrotoxicosis apart from occasional palpitations when using inhalers for asthma. She had no family history of endocrine significance. She was on salbutamol, salmeterol, fluticasone inhalers and laxatives. Physical examination was unremarkable with no goitre. ...

ea0086p327 | Metabolism, Obesity and Diabetes | SFEBES2022

‘Don’t Let them dry’—Hyponatraemia in Covid-19 (a real-world analysis)

Alikhan Ahtisham , Westall Samuel , Khan Abidullah , Sullivan Heather , Kalavsky Matus , Olusoji Rahman , Kolackova Hana , Bujawansa Sumudu , Prakash Narayanan Ram

Background: The aetiology of hyponatraemia in SARS-CoV-2 (COVID-19) is complex. Early studies have suggested a syndrome of inappropriate anti-diuretic hormone picture. We undertook a real-world retrospective analysis of patients with hyponatraemia and COVID-19 hospitalised over a 12-month period and evaluated practice against European hyponatraemia guidelines to see if initial investigations and management were appropriate. Additionally, we evaluated whether hyponatraemia in C...