Searchable abstracts of presentations at key conferences in endocrinology

ea0028p15 | Bone | SFEBES2012

Unusual presentation of primary hyperparathyroidism

Shillo Pallai Rappai , Balasubramanian Sabapathy

An 80 year old patient was diagnosed with asymptomatic, mild primary hyperparathyroidism in 2005 and managed conservatively with regular biochemical monitoring. Other medical history included atrial fibrillation, hypertension, CKD stage 3, type 2 diabetes and memory impairment. In 2011, in view of increasing calcium, he was referred to the endocrine surgeons to consider parathyroidectomy. A very low 25 (OH)vit D (12 nmol/L) prompted high dose oral cholecalciferol treatment. Th...

ea0028p72 | Clinical practice/governance and case reports | SFEBES2012

We should “ruddy well follow them up” - An unusual complication of suboptimally treated Congenital Adrenal Hyperplasia

Shillo Pallai Rappai , Macinerney Ruth , Robinson Robert

A 40 year old man with CAH and significant needle phobia presented with left leg pain in January 2011. He had been discharged from follow up at another trust. Medications were hydrocortisone 10 mg BD and fludrocortisone 100 mcg OD. Admission haemoglobin was 19.9 g/dl, haematocrit 0.554. A thorough work up to investigate causes of polycythaemia revealed the only significant abnormality as a testosterone of 45.7 nmol/L (8–27), with low gonadotrophins. The blood sample for 1...