Searchable abstracts of presentations at key conferences in endocrinology

ea0049ep25 | Adrenal cortex (to include Cushing's) | ECE2017

Severe hypoglycaemic ketoacidosis in a patient with adrenal crisis

Mohammed Azmi , Tarigopula Giridhar , Peter Paul , Partha Praveen , Kamaruddin Shafie

We present a case of a 26 years old female who was rushed to hospital with 4 days history of abdominal pain, vomiting and dizziness. She also had one episode of diarrhoea. Further history revealed that she had lost 32 kilograms of weight over the last 18 months through diet and exercise. There were no signs suggestive of an eating disorder.On examination she was peripherally cold, tachycardic (117/min), hypotensive (86/50 mmHg) and sweaty. Her Glasgow Co...

ea0031p51 | Clinical biochemistry | SFEBES2013

Liquorice induced hypertension and hypokalaemia

Khan Hamza , Tarigopula Giridhar , Partha Praveen , Peter Paul

Liquorice (scientific name Glycyrrhiza glabra) is historically used for gastrointestinal complaints. Now it is primarily used as a flavoring agent in the tobacco, confectionery and to some extent in the pharmaceutical and beverage industries. Excessive intake of liquorice may cause a primary hyperaldosteronism-like syndrome characterized by sodium and water retention, hypertension, hypokalaemia, metabolic alkalosis, low-renin activity, and hypoaldosteronism. We descri...

ea0031p52 | Clinical biochemistry | SFEBES2013

Calcification of basal ganglia in chronic hypoparathyroidism

Khan Hamza , Dhingra Anurag , Tarigopula Giridhar , Partha Praveen , Peter Paul

Hypoparathyridsm and pseudohypoparathyroidsm are the common causes of pathological calcification in the brain though 0.3–1.5% cases are physiological. The clinical presentation of hypoparathyroidsm can vary with the calcium levels and chronicity of hypocalcaemia. We describe a 39-year-old female who had type one diabetes for the last 23 years. She was repeatedly hospitalised with collapse episodes thought to be hypoglycaemic though never proved. She also had primary hypop...

ea0031p387 | Thyroid | SFEBES2013

Carbimazole induced cholestatic hepatitis

Khan Hamza , Tarigopula Giridhar , Partha Praveen , Peter Paul

Thyrotoxicosis is a common disorder especially in women. Most of the patients tolerate antithyroid medications very well with very few developing life threatening side effects. We describe a 64 years old gentleman who was diagnosed with hyperthyroidism secondary to Grave’s disease (autoimmune). He was treated with Carbimazole 20 mg daily. With in a month, he presented with malaise and reduced oral intake. Laboratory investigations showed acute cholestatic hepatitis with r...

ea0025p93 | Clinical biochemistry | SFEBES2011

Psychiatric illness: a cause and hurdle to management of nephrogenic diabetes insipidus

Turner Lisa , Tarigopula Giridhar , Koulouri Olympia , Kong Marie-France

A 54-year-old lady with a 27-year history of schizoaffective disorder presented with shaking episodes, polyuria and polydipsia. She was found to have a serum sodium of 157 mmol/l. Of note, she had been on lithium for several years but this had been stopped three months previously as her serum sodium was raised at 156 mmol/l.On admission her lithium level was undetectable, confirming no recent use. Serum osmolality was 343 mOsm/kg and urine osmolality 82 ...

ea0025p193 | Endocrine tumours and neoplasia | SFEBES2011

Prevalence and follow-up of adrenal incidentalomas after CT renal colic

Koulouri Olympia , Turner Lisa , Tarigopula Giridhar , Kong Marie-France

Introduction: CT renal tract is commonly requested by the urologists for suspected renal colic as it is recognized as the most accurate technique for the detection of ureteric stones. However, follow-up of adrenal incidentalomas identified on such scans could pose a challenge for the non-endocrinologist. We investigated the prevalence and follow-up of incidentally discovered adrenal masses after CT renal colic.Methods: We looked through the reports of al...

ea0081ep805 | Pituitary and Neuroendocrinology | ECE2022

Endocrinopathy behind the facemask

Nyunt Sandhi , Avari Parizad , Tarigopula Giridhar , Martin Niamh , Mitchell Catherine , Ling Yong Yong

A 44-year-old gentleman presented to the Emergency Department with a 2-week history of fevers and rigors. Past medical history was unremarkable other than an earlier diagnosis of hypertension. He was noted to have new onset atrial fibrillation with rapid ventricular response, and a new diagnosis of hypertrophic obstructive cardiomyopathy (HOCM) was made on echocardiography. In addition, a vegetation was identified on the mitral valve. Treatment for infective endocarditis (Stre...

ea0082p6 | Poster Presentations | SFEEU2022

Endocrinopathy behind the facemask

Nyunt Sandhi , Avari Parizad , Tarigopula Giridhar , Mitchell Catherine , Yong Ling Yong , Martin Niamh

Case history: A 44-year-old gentleman presented to A&E with a 2-week history of fevers and rigors. He gave a background history of hypertension. He was noted to have new onset atrial fibrillation with rapid ventricular response, and a new diagnosis of hypertrophic obstructive cardiomyopathy (HOCM) was made on echocardiography. A vegetation identified on the mitral valve led to an unexpected diagnosis of infective endocarditis. Antibiotic treatment for infective endocarditi...

ea0044p59 | Bone and Calcium | SFEBES2016

Primary hyperparathyroidism and concomitant vitamin D deficiency: Study of diagnosis and management outcomes

Khan Uzma , Al-Sharefi Ahmed , Partha Praveen , Kamaruddin Shafie , Tarigopula Giridhar , Peter Paul

Introduction: Primary hyperparathyroidism (PHPT) is the third most common endocrine disorder; its evaluation includes biochemical investigations and imaging studies prior to surgical intervention. Imaging is advised as an aide to surgery and not for diagnostic purposes. Coexistence of PHPT and vitamin D deficiency is common; however, the exact nature of the relationship (causal vs secondary) is not clear.Subject and methods: We conducted a retrospective ...

ea0041ep264 | Clinical case reports - Pituitary/Adrenal | ECE2016

The endocrine trifecta: rarer presentation of a rare disease

Khan Uzma , Al-Sharefi Ahmed , Peter Paul , Kamaruddin Shafie , Tarigopula Giridhar , Partha Praveen

Introduction: Autoimmune polyendocrine syndrome type 2 is a rare disease characterized by the presence of autoimmune Addison’s disease in combination with thyroid autoimmune disease and/or type 1 diabetes mellitus, and possible occurrence of other autoimmune non-endocrine disorders. The combination of the three glands diseases is even rarer and is referred to as Carpenter’s syndrome.A long time interval is often present between the manifestatio...