Searchable abstracts of presentations at key conferences in endocrinology

ea0062wc10 | Workshop C: Disorders of the thyroid gland | EU2019

A case of thyroid hormone resistance due to mutation in THRβ gene

Shah Usman , Hanson Philippa

A 25 year old gentleman was referred to the endocrine clinic for evaluation of abnormal thyroid function tests. He reported symptoms of diffuse abdominal pain associated with loose stool up to six times a day with urgency, frequency and tenesmus. These symptoms had been present since childhood, becoming increasingly troublesome over the preceding two years. He also reported symptoms of tiredness, palpitations and sweating episodes. Thyroid function tests were abnormal. TSH was...

ea0090ep979 | Thyroid | ECE2023

Hypothyroidism: A challenging condition

Hawkins Anna , Enriques Nancy , Casey Edel , Grant Bonnie , Tanday Raj , Shah Usman , Nikookam Khash

Introduction: Hypothyroidism can present in a variety of ways, from unexpected abnormal blood results in seemingly asymptomatic patients to those with a multitude of debilitating symptoms. Levothyroxine dose titration is a challenge often faced by physicians. We identified 8 difficult cases which following MDT discussion underwent the Thyroxine Absorption Test (TAT) to gain further clarification (Walker et al. 2013).Aim: To identify if the issue...

ea0049ep58 | Adrenal cortex (to include Cushing's) | ECE2017

Adrenal incidentaloma: a challenging dilemma!

Bonner Caoimhe , Shah Usman , Hawkins Anna , Pittathankal Anthony , Syed Imran , Casey Edel , Nikookam Khash

The prevalence of adrenal incidentaloma on abdominal Computed Tomography (CT) is around 4.4%. This prevalence is increased in obese, diabetic, hypertensive patients, and could be as high as 10% in older patients. Unilateral adrenal masses larger than 4 cm should be considered for surgical removal to avoid missing adrenal carcinoma, particularly in younger patients.This is the case of a 67 year old gentleman with Type 2 diabetes mellitus, known to have hy...

ea0041ep528 | Diabetes complications | ECE2016

Diabetes mellitus, pre-dialysis, extreme anxiety, and sarcoidosis

Shah Usman , Soule Erik , Nikookam Yasmin , James Ajit , Casey Edel , Nikookam Khash

Diabetic nephropathy is the leading cause of chronic kidney disease and is responsible for 30–40% of all end stage renal disease (1). Where there is rapid decline in eGFR, we should also consider other aetiologies.This is the case of a 65-year-old Caucasian gentleman with complex presentation and novel management strategy with type 2 diabetes mellitus since 1999 which was effectively managed, evident by reasonable control of HBA1c; Pharmacotherapy r...

ea0099rc9.2 | Rapid Communications 9: Pituitary and Neuroendocrinology | Part II | ECE2024

Elevated prolactin: Do not over investigate, cannulate!

Hawkins Anna , Enriquez Nancy , Tanday Raj , Shah Usman , Chan Carmela , Casey Edel , Nikookam Khash

Aim: Role of Endocrine Specialist Nurse (ESN) in performing cannulated prolactin and subsequent impact on outpatient clinic activities.Introduction: Hyperprolactinemia is a common condition in endocrine clinical practice. It may occur in any sex, at any age and its prevalence and incidence depend on study population. The most common physiological causes of elevated prolactin are stress, lactation, pregnancy and exercise. Non-physiological causes include ...

ea0099ep263 | Diabetes, Obesity, Metabolism and Nutrition | ECE2024

Reactive hypoglycaemia: A challenge in clinical practice

Shah Usman , Hawkins Anna , Tanday Raj , Mohammadpoor Azin , Enriquez Nancy , Nikookam Khash

This is a case of a 38-year-old lady with a past medical history of Ehlers Danlos Syndrome, functional neurological syndrome and unremarkable cardiac investigations for palpitations. She was referred by her general practitioner (GP) with episodic shaking, excessive sweating, recurrent hypo-and hyperglycaemia recorded by her own capillary blood glucose (CBG) meter, ranging from 1.9mmol/l to 19mmol/l. The episodes would mostly occur 1 to 3 times per week, usually in the afternoo...

ea0081ep1157 | Thyroid | ECE2022

From benign cytology to papillary thyroid carcinoma

Nikookam Yasmin , Grant Bonnie , Shah Usman , Mlawa Gideon , Hawkins Anna , Casey Edel , Pittathankal Antony , Syed Imran , Nikookam Khash

Thyroid cancer is the most common endocrine malignancy with an increasing incidence globally predominantly due to the papillary thyroid carcinoma subtype. It is the 17th and 20th most common malignancy in females and males respectively. In 2018, Cancer Research UK reported 3865 new cases and 400 deaths. Mortality rates are predicted to continue to rise in the UK with an estimated rate of 1 per 100,000 deaths in 2035. We present a 42-year-old female who pr...