Endocrine Abstracts

Primary hyperparathyroidism is a fairly common endocrine problem affecting women twice as common as men. The first case of primary hyperparathyroidism in pregnancy was reported in 1931. We present a case of a 29 years old lady who was referred to the endocrine clinic from inpatient admission for her high corrected calcium (Corr Ca) levels (3.27 mmol/mol) and high Parathyroid Hormone (PTH) levels (58.9 pmol/l), while she was 12 weeks pregnant. Her past medical history was signi...

Introduction: B cell lymphoma of brain is a rare form of lymphoma of brain and it presetting as SIADH is very rare. In this case it was very difficult to find the cause for SIADH with all routine tests. Ultimate diagnosis was by histopathology.Case report: 68 year old gentlemen admitted with vomiting found to be hyponatraemic with serum sodium of 122 mmol/litre. He was known to have chronic lymphocytic lymphoma treated with chemotherapy with good remissi...

We present the case of an 80-year-old man found to have a non-functioning pituitary macroadenoma causing secondary adrenal insufficiency and hypogonadism in 2006. Thyroid function and prolactin levels were normal. With hydrocortisone replacement he was doing well. There was no visual field defect and he continued with conservative management. On enquiring about testosterone treatment, it had been started in Oct 2008, but discontinued within a month as there was no change in hi...

Introduction: Bariatric surgery is now a common surgical procedure for weight management recommended by NICE. Complications such as dumping syndrome, micronutrient deficiencies are well documented in the literature. Here we discuss a lesser reported complication of adrenal insufficiency and its management in five patients following gastric bypass surgery.Case reports: All patients presented with one or more of the following symptoms: sweating, anxiety, w...

Introduction: Idiopathic Pituitary atrophy is rare cause of pan hypopituitarism. Various hypotheses were proposed to identify aetiology of idiopathic pituitary atrophy. Still definite cause is not known. There are very few reported cases of pituitary atrophy. We present a case of pituitary atrophy that required complete replacement of pan hypopituirsm to alleviate her symptoms.Case report: About 64 year lady was referred for evaluation of hyponatraemia a...

Introduction: Insulinoma is a neuroendocrine tumour derived from the pancreatic islet cells producing excessive amounts of insulin. It can be seen at every age but mostly seen in females above age 50 years old. Because of nonspecific symptoms 20% of cases are misdiagnosed primarily. Major symptoms and signs are related to hypoglycaemia and become significant due to exercise and fasting. This case reveals the diagnostic difficulty due to hypoglycaemia unawareness.<p class="...

Introduction: Bariatric surgery is now a common surgical procedure for weight management recommended by NICE. Complications such as dumping syndrome, micronutrient deficiencies and cholelithiasis are well documented in the literature. Here we discuss the lesser reported complication of adrenal insufficiency seen in three patients following roux-en-y gastric bypass surgery for morbid obesity.Case reports: Three patients were seen in the outpatient clinic ...