Searchable abstracts of presentations at key conferences in endocrinology

ea0013p26 | Clinical practice/governance and case reports | SFEBES2007

Chorea - A rare manifestation of hyperthyroidism

Rao Ranganatha Krishna , Mishra Manoj

Introduction: Thyroid Storm is a rarely occurring severe form of hyperthyroidism, almost always brought about by precipitating event. It occurs more frequently with Grave’s disease. The mortality varies from 20 to 50%. The diagnosis of thyroid storm is mainly clinical along with abnormal thyroid hormone levels. We report a case of thyroid storm with chorea as one of its manifestation.Case report: A fifty year old lady was referred to us for recent o...

ea0034p33 | Clinical biochemistry | SFEBES2014

Are we investigating and managing hyponatremia in hospitalised patients properly: a re-audit

Pearson Laura , Rao Ranganatha , De Parijat

Aims: To assess the prevalence, investigations and management of hyponatraemia in hospital inpatients (previously deemed inadequate) over a 2-week period (1–15 May 2013) and compare with data collected in 2011, following the introduction of updated clinical guidelines in our trust.Methods: Hospital notes and electronic records of all patients with a sodium level of <130 mmol/l were analysed.Results: 43/255 (17%) patients h...

ea0091cb54 | Additional Cases | SFEEU2023

Complexities in the diagnosing of Cushing’s syndrome

Wellala Vindya , Ranganatha Rao , Kumarathunga Dineesha , Thadani Puja , Georgios Giovos

Diagnosis of Cushing’s syndrome is challenging in the absence of cardinal features. But still, they have the same metabolic risk due to the presence of biochemical hypercortisolism. A 35-year lady was referred to the tertiary care endocrine unit following an incidental finding of high cortisol levels while on treatment for covid in 2021. She also had some weight gain, slow healing of wounds, and easy bruising. She did not have any features of hyperandrogenism and hyperten...

ea0065p66 | Adrenal and Cardiovascular | SFEBES2019

Waterhouse–Friderichsen syndrome: an endocrine emergency

Gatdula Erneda Reyes , Cho Sanda , Rao Ranganatha , Murthy Narasimha

Waterhouse–Friderichsen Syndrome is adrenal gland failure due to adrenal haemorrhage. It is an uncommon but usually life-threatening condition, which can be one of the serious complications of severe sepsis. Clinical manifestations of adrenal haemorrhage can vary widely depending on the degree and rate of haemorrhage. Adrenal haemorrhage may result from trauma, sepsis, anticoagulation medication, coagulopathy, autoimmune conditions, underlying tumour or idiopathic disease...

ea0034p389 | Thyroid | SFEBES2014

Radioiodine therapy for thyrotoxicosis over a 2-year period: an audit

Clark Jennifer , Rao Ranganatha , Bandyopadhyay Prabir , De Parijat

Aims: To look at the demographics, biochemistry, treatments used, clinical characteristics associated with radioiodine (RI) treatment (including those with relapse) for thyrotoxicosis in our Endocrine clinic.Methods: Electronic records of all thyrotoxic patients between 2010 and 2012.Results: 144 patients, mean age 56 years (114 females)–106 Graves, 24 toxic adenoma (TA) and 14 multi nodular goitre (MNG). TPO antibody was posi...

ea0034p393 | Thyroid | SFEBES2014

Deafness and goitre: think pendred

Virdee Jasvir , Warwick Russell , Rao Ranganatha , Ryder Robert , De Parijat

Introduction: Pendred syndrome is a rare autosomal recessive condition characterised by sensorineural deafness, goitre and impaired iodine organification. We report a case of a 43-year-old female who presented with hearing impairment, and the development of a multinodular goitre with tracheal compression. Perchlorate testing and genetic studies confirmed a diagnosis of Pendred syndrome. She subsequently underwent partial thyroidectomy and requires lifelong follow-up.<p cla...

ea0028p2 | Bone | SFEBES2012

A case of HPT-JT syndrome with mutation involving exon 2 of CDC73 gene

Rao Ranganatha , Sivaraman Subash , Harrold Christopher , Murthy Narasimha , Sankar Sailesh

Background: Primary Hyperparathyroidism - Jaw tumour (HPT-JT) syndrome is an autosomal dominant disorder characterised by hyperparathyroidism and ossifying jaw fibromas. Inactivating germline mutations in CDC73 gene (previously known as HRPT2) is the main cause of this syndrome. There is higher incidence of parathyroid carcinoma in these individuals and also an association with other renal lesions have been described. We report a case of HPT-JT syndrome with mutation in the ex...

ea0077p200 | Metabolism, Obesity and Diabetes | SFEBES2021

Management of the common within the uncommon: Euglycemic ketoacidosis in Bloom’s syndrome

Nair Nalini , Awala Orighomisan , Thadani Puja , Yasear Zhainab , Rao Ranganatha , Murthy Narasimha , Sankar Sailesh , Randeeva Harpal

Background: Bloom’s syndrome is a rare autosomal recessive disorder due to chromosomal instability. It is associated with endocrinopathies such as growth deficiency, insulin resistance, type 2 diabetes, dyslipidemia and hypothyroidism. We present a case to highlight the challenges in management of diabetic emergencies in patients with complex syndromes.Case report: A 38-year-old male of Asian descent known to have Bloom’s syndrome presented to ...

ea0077p93 | Neuroendocrinology and Pituitary | SFEBES2021

Healthcare professionals’ survey on the inpatient safety of Diabetes Insipidus

Ladher Ramesh Kumar , Ramesh Rommel , Shah Kausar , Mullard Katie , Rao Ranganatha

Background: Knowledge of glucocorticoid use during acute illness is widely known, however, knowledge of Diabetes Insipidus (DI) is suboptimal amongst healthcare professionals. In 2009, a series of medical and management failures led to the death of 22 year old from DI in a London hospital. Since then increased efforts have been made to raise awareness about the inpatient management of DI and dangers associated with delay and/or omission of desmopressin. An NHS England patient ...

ea0086p34 | Bone and Calcium | SFEBES2022

Important learning lessons from a rare case of hypoparathyroidism

Leonidas Liarakos Alexandros , Tran Patrick , Page Tristan , Rao Ranganatha , Murthy Narasimha

Background: Genetic causes of hypocalcaemia can be overlooked in patients presenting without apparent syndromic features. One such example is DiGeorge syndrome, which is often diagnosed in childhood but rarely in adulthood.Case presentation: A 21-year-old lady was referred to our endocrinology clinic regarding chronic hypocalcaemia (adjusted calcium 1.98 mmol/l). This was first diagnosed at the age of eight with no clear cause identified. Her past medica...