Searchable abstracts of presentations at key conferences in endocrinology

ea0058p001 | Adrenal | BSPED2018

A Cochrane Review of glucocorticoid replacement regimens in the treatment of 21-hydroxylase deficiency congenital adrenal hyperplasia

Ng Sze , Stepien Karolina

Congenital adrenal hyperplasia (CAH) is an autosomal recessive condition which leads to glucocorticoid deficiency. During childhood, aims of treatment are to prevent adrenal crisis and to achieve optimal adult height and normal puberty. In adults, aims of treatment are to prevent adrenal crisis, ensure normal fertility and avoid long-term consequences of glucocorticoid use. Current regimens with glucocorticoids cannot optimally replicate the normal physiological cortisol level...

ea0035p852 | Pituitary Clinical (<emphasis role="italic">Generously supported by IPSEN</emphasis>) | ECE2014

Lymphocytic hypophysitis: natural history and management in the 21st century

Kyriacou Angelos , Stepien Karolina , Kearney Tara

Introduction: Lymphocytic hypophysitis (LH) is a rare condition that has been increasingly recognised. We studied the natural history and current management of patients with lymphocytic hypophysitis.Methods: We performed a multi-centre retrospective review of all patients that either had histologically proven disease or a strong clinical suspicion for its presence, diagnosed from 2000 onwards. Cases of secondary hypophysitis or granulomatous or xanthomat...

ea0035p45 | Adrenal cortex | ECE2014

Markedly elevated glucocorticoids and their metabolites in an unusual case of Cushing's syndrome secondary to ectopic ACTH production from a thymic carcinoid

Kyriacou Angelos , Stepien Karolina , Cooksley Timothy , Keevil Brian , Issa Basil

A 51-year-old obese lady was admitted with multiple cerebral, pulmonary and intra-abdominal abscesses. She was referred to the endocrine team because of newly-diagnosed type 2 diabetes mellitus. The combination of apparent immunosuppression, obesity, diabetes mellitus, hypertension, hypokalaemia, osteoporotic fractures and bilateral shoulder avascular necrosis (BSAN) led to a clinical diagnosis of CushingÂ’s syndrome (CS); this was biochemically confirmed as follows: non-s...

ea0034p258 | Obesity, diabetes, metabolism and cardiovascular | SFEBES2014

High serum amylase a contraindication to GLP1 analogue treatment?

Stepien Karolina , Kelly Anne-Marie , Horsman Graham , Younis Naveed

Case: A 41 year-old-Indian woman with type 2 diabetes treated with liraglutide was admitted to the Emergency Department with abdominal pain, nausea, vomiting and bloated abdomen. She was found to have raised amylase at 706 U/l. Abdominal ultrasound and CT scan did not reveal any abnormalities in the pancreas or billary tract and the patient was discharged.She had diabetes for 9 years duration treated with metformin, pioglitazone and liraglutide. Over 2 y...

ea0094p78 | Metabolism, Obesity and Diabetes | SFEBES2023

Endocrine consequences of inherited metabolic disorders: Experience from a joint clinic

Bassett John , Puente Nuria , Heald Adrian , Stepien Karolina

Introduction: Substrate accumulation, energy deficiency or complex molecule defects characterize inherited metabolic disorders (IMDs), accounting for their multi-system manifestations. One important aspect of this is endocrinopathy, which is relatively common but underestimated in IMDs, presenting in childhood following diagnosis or sometimes a presenting symptom in adults where there is multi-system or multi-gland involvement. Endocrinopathies may be secondar...

ea0035p455 | Diabetes complications | ECE2014

The correlation of foetal ultrasound and HbA1c with birth weight in women with gestational diabetes

Stepien Karolina , Rambihar Sophie , Leigh-Atkins Sue , Okinoye Gbemisola , Kyriacou Angelos , Whiteside Sigrid , Issa Basil

Background: It is estimated that gestational diabetes (GDM) accounts for 87.5% of all diabetes cases in pregnancy and is associated with worse pregnancy outcomes. Macrosomia is one of the main complications of GDM and antenatal management strategies are directed at ensuring normal foetal growth. Ultrasonography is a useful tool for estimating foetal size, but there is little data in the literature correlating foetal abdominal circumference (AC) and birth weight in GDM. Further...