Endocrine Abstracts

Introduction: Galactorrhea is a common symptom of raised prolactin irrespective of cause of hyperprolactinemia. Whereas pituitary prolactinoma is the commonest cause, there are many other causes of increased prolactin including chest wall injuries or chest surgery. Galactorrhea without prolactin increase has been reported as well. We describe a case of galactorrhea following thoracoscopic resection of schwannoma from apex of left hemithorax.Clinical Case...

Short Synacthen test (SST) is performed to exclude adrenal insufficiency; it’s frequently used for investigations of hyponatremia to rule out adrenal insufficiency as a possible cause. However the cost of Synacthen® (tetracosactide) 250 μg in 1 ml has increased from £14.63 to £228.55 for box of 5 A. (15-fold rise in price). This price hike needs to be taken into considerations when ordering SST. The objective of this retrospective audit was ...