Searchable abstracts of presentations at key conferences in endocrinology

ea0086p316 | Bone and Calcium | SFEBES2022

Severe hypercalcaemia with short QT interval due to vitamin D intoxication secondary to unsupervised exogenous vitamin D administration

Taqi Muhammad , Shah Najeeb , Karim Rehmat

Case: A 34-years-old male, construction worker, referred by GP with the history of vomiting, fatigue and near-collapse. Apart from alcohol excess, his past medical history was unremarkable. He did not have any personal or family history of any endocrinopathy, and was not taking any medication. Initial blood result were as below. ECG showed short QTc interval of 354 ms. His presentation was initially thought to be vomiting due to alcohol excess leading to dehydration and hyperc...

ea0091wa8 | Workshop A: Disorders of the hypothalamus and pituitary | SFEEU2023

An interesting case of pituitary macroadenoma with/without apoplexy

Taqi Muhammad , Akbar Shahzad , Mongolu Shiva

A 52 year old gentleman was referred for an inpatient Endocrinology review. He was admitted after incidental finding of severe hyponatremia of 119. He felt unwell after having an episode of vomiting at home a few days ago and then had his bloods done at primary care. He denied any headache, dizziness, or visual disturbance. Further investigations were requested which revealed plasma osm 247, urine osm 350, and urine sodium 132. A diagnosis of SIADH was established and he was p...

ea0091cb29 | Additional Cases | SFEEU2023

A case of persistent grade II subclinical hyperthyroidism without any overt complications

Akbar Shahzad , Taqi Muhammad , Mongolu Shiva

Introduction: Hyperthyroidism is a pathological state characterized by increased synthesis and secretion of thyroid hormones (thyroxine (T4) and triiodothyronine (T3)) by the thyroid gland. Subclinical hyperthyroidism – a milder form – is defined as a low or suppressed TSH (<0.4 mIU/l), but serum free T4 (FT4) and free T3 (FT3) within the reference interval.Case: 76 years old lady seen in endocrine clinic. She was referred by GP because of ...

ea0090p162 | Pituitary and Neuroendocrinology | ECE2023

An unusual sellar dermoid cyst

Akbar Shahzad , Taqi Muhammad , Shah Najeeb , Mongolu Shiva , Aye Mo

Introduction: Dermoid cysts are rare (0.5% of intracranial tumours). They are best considered a spectrum: from epidermoid cysts containing desquamated squamous epithelium to teratomas containing all three embryonic tissues. Sellar dermoid cysts are even rarer [ ID: ORPHA:91351]. Case: A 47-year old white British male was referred following incidental discovery of bitemporal field defect on routine eye test. He was otherwise completely asymptomat...

ea0090ep740 | Pituitary and Neuroendocrinology | ECE2023

Pituicytoma – case report of an extremely rare and little-studied primary tumour of the adult neurohypophysis

Taqi Muhammad , Akbar Shahzad , Malik Shah Rukh , Mongolu Shiva

The pituicytomas are extremely rare and little-studied primary tumours of the adult neurohypophysis. These are low-grade (World Health Organization [WHO] grade 1), indolent gliomas which present as a sellar mass, which is usually mistaken for a pituitary adenoma, and has no known hormonal secretory function. A 63 years old retired paediatrician was referred to the neurology clinic with the history of constant severe headache ongoing for a few weeks. It involved the whole of th...

ea0094p303 | Adrenal and Cardiovascular | SFEBES2023

The hidden duo: phaeochromocytoma and primary peritoneal metastatic carcinoma unmasked

Akbar Shahzad , Taqi Muhammad , Karim Rehmat , Deshmukh Harshal , Aye Mo , Sathyapalan Thozhukat , Mongolu Shiva

A 71-year-old woman was referred to the urology department with macroscopic haematuria. An ultrasound scan revealed a suspicious solid mass measuring 6.6cm arising from the left kidney. Subsequent CT scan confirmed the presence of a left adrenal mass along with omental and peritoneal disease and small-volume ascites. The patient was referred to the adrenal surgeons for consideration of left adrenalectomy in view of suspected adrenal cancer. At the surgical outpatient departmen...

ea0094p253 | Neuroendocrinology and Pituitary | SFEBES2023

Young male presented with primary hyperparathyroidism secondary to Multiple Endocrine Neoplasia type 1 syndrome

Salah Uddin Mohammad , Mohammed Kamrudeen , Deshmukh Harshal , Taqi Muhammad , Akbar Shahzad

MEN1 is a rare hereditary tumor syndrome characterized by a predisposition to a multitude of endocrine neoplasms primarily of parathyroid, enteropancreatic, and anterior pituitary origin and non endocrine tumor. Here we will discuss a case of 36 yrs. old male who was referred for high calcium on routine blood test. Subsequent investigations confirmed primary hyperparathyroidism. His serum calcium level was 2.71, PTH 7.5 Pmol/l, and vitamin D 57.4 nmol/l on presentation and was...