Searchable abstracts of presentations at key conferences in endocrinology

ea0055oc5 | National Clinical Cases | SFEEU2018

Stalk and infudibular thickening – A diagnostic conundrum

Banu Zeenat , Menon Ravi

Case history: Fifty-eight years old gentleman referred to endocrinology with erectile dysfunction and decreased libido for 1 year. He denied headache or visual disturbance. His past medical history include ulcerative colitis (1998), mild asthma, anterior scleritis (2003), previous DVT (1994), Episode of steroid induced psychosis in past. He is on levothyroxine, sulfasalazine, calcium /vitamin D and long term prednisolone 4 mg (9 years). Examination reveal testicular volume of ...

ea0044ep18 | (1) | SFEBES2016

Bilateral adrenal nodules and phaeochromocytoma associated with neurofibromatosis

Banu Zeenat , Menon Ravi

We report two cases of unilateral and bilateral phaeochromocytoma in patients with neurofibromatosis type 1 (NF-1) respectively.Case 1 64 year old Caucasian male with known NF-1, hypertension, depression and osteoarthritis was referred with episodic symptoms of palpitation, chest pain and breathlessness. Biochemically confirmed phaeochromocytoma with 24 hr urinary metanephrines of 18595 nmol/24 hrs. CT revealed 4.2 cm right adrenal...

ea0041ep284 | Clinical case reports - Pituitary/Adrenal | ECE2016

Isolated hypoprolactinaemia: two cases

Banu Zeenat , Menon Ravi

Case 1: 38 year old was referred for sub-fertility. She had one normal childbirth 5 years ago. There was failure to lactate following the childbirth. There was some puerperal blood loss, but she resumed normal menstrual periods and had no other manifestations of hypopituitarism. Pituitary profile showed normal results FSH 2.7 IU/l; LH 1.5 IU/l; 0900 h cortisol 305 nmol/l/l/ TSH 2.85 μ/l. Prolactin was 85 μ/l. IGF1 18.6 nmol/l. Short synacthen was normal. Previous MRI...

ea0031p374 | Thyroid | SFEBES2013

Acute transient thyrotoxicosis following intensity-modulated radiotherapy to the neck

Menon Ravi , Ahlquist James

Radiation to the neck is known to be associated with the later development of hypothyroidism. The possibility of acute radiation-induced thyrotoxicosis is not generally recognised. We report here a case of acute hyperthyroidism shortly after radiotherapy.A 57-year-old man with poorly differentiated adenocarcinoma of the left parotid underwent parotidectomy with radical neck dissection followed by radiotherapy. He received 65 Gy by intensity modulated rad...

ea0034p329 | Reproduction | SFEBES2014

A rare cause of infertility

Imran Siddiqi Ahmed , Menon Ravi

Case history: A 29-year-old man presented with infertility. He also complained of difficulty in passing urine. He also complained of low libido and ejaculate was also noted to be watery. He complained of occasional difficulty in maintaining erections. He denied history of trauma, radiation exposure or use of illicit drugs. He had normal pubertal development and secondary sexual features. He had undergone a surgery about 11 years ago in Nigeria for hypospadias. Hypospadias was ...

ea0077p258 | Thyroid | SFEBES2021

Case Study: Profound iatrogenic hypothyroidism in early pregnancy secondary to propylthiouracil

Fujitake Eri , Menon Ravi , Rayanagoudar Girish

A 36-year-old woman was admitted with newly diagnosed Grave’s disease due to significant symptoms. Blood results revealed fT4 83.2 (pmol/l) TSH <0.01 (mIU/l), and TSH Receptor Antibody 4.56 (0-0.4 U/l)). She was commenced on Propylthiouracil (PTU) thrice daily alongside Propranolol. She had a blood test in 4 months’ time, when she was 5 weeks pregnant. Blood results suggested profound hypothyroidism with fT4 4.7 (pmol/l) and TSH 82.02 (mIU/l), and she was commenc...

ea0094p142 | Thyroid | SFEBES2023

’Not just another Hashimoto’s!’

Mohamed Einas , Menon Ravi , Rayanagoudar Girish

Hashimoto’s thyroiditis is the most common cause of hypothyroidism in iodine-sufficient areas of the world, cause is thought to be a combination of genetic susceptibility and environmental factors. The pathology of the disease involves the formation of antithyroid antibodies that attack the thyroid tissue, causing progressive fibrosis. We present the case of a 38 year old male with history of hypertension, type 2 Diabetes and pre-existing hypothyroidism who presented with...

ea0065p123 | Bone and calcium | SFEBES2019

A case report of concomitant diagnosis of multiple myeloma and primary hyperparathyroidism

Deyab Eithar , Esakji Muhammad , Rabin Neil , Menon Ravi , Rayanagoudar Girish

Coexistence of primary hyperparathyroidism and multiple myeloma is very rare.Case report: 45 year old Jamaican female presented with left sided chest pain for a month. CXR showed a pathological left clavicular fracture with a lytic lesion. She was noted to have a serum Ca of 3.26 mmol/l.Other investigations: Haemoglobin 115 g/l (115–155), creatinine 76 umol/l (49–92), Corrected Ca 3.26 mmol/l (2.20–2.60), Phosphate 0...

ea0065p428 | Thyroid | SFEBES2019

Myxoedema coma with severe hypoxia

Deyab Eithar , Lei Linda , Hwang Sungjae , Iqbal Fahad , Menon Ravi

Myxoedema coma is a rare Endocrine emergency.Case report: 28 year old Polish woman, recently travelled to the UK, presented to the A&E with 3 week history of breathlessness and bilateral leg swelling. She had a history of Trisomy 21, was not taking any medications. She had amenorrhoea for 4 months and orthopnoea with periorbital oedema with conjunctival congestion. Saturation 70% on air, 96% on 15 l of oxygen, heart rate 42, blood pressure 103/61, te...

ea0063p1214 | Thyroid 3 | ECE2019

Graves’ disease and thrombocytopenia

Naeem Ammara , Aung Htet , Menon Ravi , Garg Anukul

Case History: 38 year old male presented with thyrotoxic symptoms and exophthalmos with an initial Free T4 of > 100 pmol/l; TSH < 0.01 mIU/l and thyroid receptor antibody positivity. He had a platelet count of 72* 109 /L at presentation and was started on carbimazole. A month later he had platelet count of 9* 109 /L with normal white cell count and haemoglobin levels. He was switched to propylthiouracil, but was readmitted with platelet count of 1...