Endocrine Abstracts

Mineral-rich baths and other spa treatments are popular and are promoted as providing a sense of well-being and detoxification. However, exposure to minerals that are easily absorbed through the skin may have unwanted adverse effects in certain groups of patients. In 2001, a 50-year-old woman was diagnosed with thyrotoxic Graves’ disease. Her thyroid peroxidase antibodies were >1000 IU/ml. She was treated with block and replace therapy for 1 year. She remained euthyro...

Case report: A 56-year old man presented with a 3 month history of painful bilateral gynaecomastia and sexual dysfunction. Investigations revealed hypogonadotrophic hypogonadism with markedly elevated serum E2, but otherwise normal baseline anterior pituitary function. Tumour markers were negative and adrenal androgens and LFTs were normal. Imaging identified a ∼6 cm right adrenal mass. Preoperative workup excluded phaechromocytoma, but identified low-grade, ACTH-indepen...