Searchable abstracts of presentations at key conferences in endocrinology

ea0044p87 | Clinical biochemistry | SFEBES2016

Do guidelines improve practice? A re-audit of thyroid nodule ultrasound reporting at Northumbria Healthcare NHS foundation Trust post-BTA Thyroid Cancer Guidelines 2014

Aldibbiat Ali , Tee Su , Madathil Asgar

Introduction: BTA guidelines-2014 outlined the need for key features to be included in thyroid ultrasound scan (USS) reporting including risk stratification. The aim of this audit was to evaluate the quality of thyroid-USS reporting at Northumbria Healthcare NHS Foundation Trust (NHCT); using BTA guidelines as the gold standard.Methods: All thyroid/neck-USS between 1st November to 31st December 2015 were retrieved from radiology records at NHCT. Scans ev...

ea0070aep583 | Pituitary and Neuroendocrinology | ECE2020

Not just another headache – a rare case of recurrent pituitary collection

Tee Su , Andrew James Robert , Nicholson Claire , Mamoojee Yaasir

A 27 year old lady presented in 2016 with a 3 month history of intermittent headache and visual disturbance, 3.5 months post-partum. She had a past medical history of cluster headache; treated with verapamil and short courses of oral steroids (she had no recent steroid courses prior to presentation). She was found to have a partial right sixth nerve palsy but normal visual fields on Goldmann’s testing. She had biochemical evidence of secondary adrenal insufficiency (sodi...

ea0077op5.3 | Bone and Calcium | SFEBES2021

Vitamin D deficiency is highly prevalent among patients who died from COVID-19 in the North-East of England.

Motohashi Kenzo , Ann Tee Su , Echevarria Carlos , Burns Graham , Quinton Richard

Background: Vitamin D deficiency (VDD) has been implicated in the pathophysiology of respiratory infections, including Coronavirus Disease 2019 (COVID-19). We assessed vitamin D levels of patients who died from COVID-19 during or following admission to Newcastle-upon-Tyne Hospitals.Methods: We performed a retrospective survey of electronic patient records for 2,355 patients admitted to our institution between 04/02/2020 and 19/01/2021, who had a positive...

ea0055wh5 | Workshop H: Miscellaneous endocrine and metabolic disorders | SFEEU2018

NET or Not? A case illustrating potential difficulties in detecting neuroendocrine tumours

Tee Su Ann , James Robert Andrew , Petrides George , Allcock Robert , Perros Petros

A 68-year-old lady presented with a right-sided breast lump detected on routine mammography. Past medical history included type 2 diabetes, asthma, and hypothyroidism following radioactive iodine for toxic multinodular goitre. Staging CT showed 2 presumed metastases in the left lung, and one in the right lung. She was referred for biopsy and/or resection of these lesions. Histology of the left lower lobe lesion showed a typical carcinoid tumour with an adjacent neuroendocrine ...

ea0038p331 | Pituitary | SFEBES2015

Keep calm and give cabergoline: a giant prolactinoma presenting with seizures

Tee Su Ann , Peter Paul , Tarigopula Giridhar , Partha Praveen , Kamaruddin Shafie

Background: Prolactinomas are the major subtype (20–30%) of pituitary adenomas. Microprolactinomas (<1 cm) are commoner in females, whereas macroprolactinomas (>1 cm) occur mainly in men. Giant prolactinomas are rare (2–3% of prolactinomas) – features include size of ≥4 cm, with significant extrasellar extension and prolactin levels of >1000 μg/l.Case report: We report the case of a 35-year-old man with type 2 diabet...

ea0038p467 | Thyroid | SFEBES2015

More than meets the eye: a case of longstanding hypothyroidism due to Hashimoto’s thyroiditis presenting with unilateral thyroid eye disease

Tee Su Ann , Peter Paul , Partha Praveen , Kamaruddin Shafie , Tarigopula Giridhar

Introduction: Unilateral proptosis may be due to thyroid eye disease (TED) or retro-orbital tumours. TED is an autoimmune process affecting orbital and periorbital tissue, and generally occurs in patients with Graves thyrotoxicosis. A small subset of patients with TED (5%) have normal thyroid function, but TED is rarer in hypothyroid patients.Case report: We report the case of a 57-year-old lady who initially presented to ophthalmology with diplopia. She...

ea0055wh4 | Workshop H: Miscellaneous endocrine and metabolic disorders | SFEEU2018

A tricky case of hypoglycaemia

Ann Tee Su , Siddaramaiah Naveen , French Jeremy , Boot Christopher , Gulfam Taimur , Al-Sharefi Ahmed , Leeds John , Andrew James Robert

A 50 year old lady was referred with a two year history of recurrent spontaneous hypoglycaemic episodes. She had put on a stone in weight over this time period. She was otherwise fit and well and took no regular medications. She had a past medical history of treated melanoma. None of her family members had diabetes mellitus. Neither she nor her husband worked in a healthcare setting but her daughter was a district nurse. Prior to referral, she had a normal short synacthen test...

ea0073aep394 | Endocrine-Related Cancer | ECE2021

Untreated phaeochromocytoma and co-existing severe pulmonary hypertension: Friend or foe?

Tee Su , Loo May Rui , Mohammed Azmi , Al-Sharefi Ahmed , Lordan James , Truran Peter , Mamoojee Yaasir , Kamaruddin M Shafie

Phaeochromocytomas are neuroendocrine neoplasms originating from chromaffin cells of the adrenal medulla, causing 0.1–0.2% cases of hypertension. Although rare, phaeochromocytoma is potentially life-threatening, leading to hypertensive crises if unrecognised or mismanaged. Chronic thromboembolic pulmonary hypertension (CTEPH) is a potential complication of thromboembolic disease, usually resulting from ongoing vascular obstruction following pulmonary emboli. We report a c...

ea0070oc6.6 | Hot Topics (including COVID-19 | ECE2020

Low serum 25-hydroxyvitamin D (25[OH]D) levels in patients hospitalised with COVID-19 are associated with greater disease severity

Tee Su , Panagiotou Grigorios , Ihsan Yasir , Athar Waseem , Marchitelli Gabriella , Kelly Donna , Boot Christopher S , Stock Nadia , Macfarlane James , Martineau Adrian , Burns Graham , Quinton Richard

Background: The pandemic of Coronavirus Disease 2019 (COVID-19) caused by Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) is associated with higher fatality in respect of male sex, advancing age, obesity, diabetes, hypertension, climatic factors and, in the UK and North America, with darker-skinned ethnicities; in all of which circumstances vitamin D deficiency (VDD) is more common. 25(OH)D levels reach their nadir at the end of winter and have been associated wit...