Endocrine Abstracts

Background: National Institute for Clinical Excellence (NICE) guidelines for the use of Growth Hormone (GH) replacement in adults with GH deficiency (GHD) were published in 2003, and subsequently ratified for use in Scotland.Aim: To identify all adults in Scotland currently receiving GH and to assess whether they meet the NICE criteria for starting and continuing GH replacement.Methods: All endocrinologists in Scotland were surveye...

Ganglioneuroblastoma is a rare neoplasm of adults, containing both primitive neuroblastomatous and mature ganglioneuromatous elements of sympathetic cell origin. We describe an adult patient with a ganglioneuroblastoma exclusively secreting dopamine.A 41 year old lady represented 6 days post laparoscopic excision of endometriosis with a 2 day history of right sided abdominal pain. Only on direct questioning did she admit to a vague 2 month history of occ...

The teratogenic effects of diabetes and the diabetogenic effects of pregnancy make tight glycaemic control during gestation essential. Regular review of the patients is neccessary though the short intervals between appointments make the relatively slow-to-change HbA1c unsuitable for making clinical decisions. Instead, the clinician must rely on home blood glucose (HBG)monitoring results from the patient. These depend on having an accurate meter and good technique aswell as hon...