Searchable abstracts of presentations at key conferences in endocrinology

ea0048oc5 | Oral Communications | SFEEU2017

Copper deficiency presenting as subacute common peroneal nerve palsy post-duodenal switch surgery

Lim Jonathan ZM , Thomas Cecil

Background: Gastric reduction duodenal switch involves restrictive and mal-absorptive aspect, removing approximately 70% of stomach and most of the duodenum. Surgical alteration leading to malabsorption of macronutrients is achieved with varying results of weight loss but resulting nutritional side effects are under-recognised. Issues in nutritional complication leading to neurological complications like peripheral neuropathy are increasingly recognised. We discuss a case of s...

ea0048p5 | Poster Presentations | SFEEU2017

Oral glucose tolerance test should be selectively performed to confirm reactive hypoglycaemia in post-bariatric surgery patients

Lim Jonathan ZM , Thomas Cecil

Background: Bariatric surgery has contributed to a large spectrum of presentations of hypoglycaemia. Dumping syndrome caused by food reaching the duodenum rapidly is associated with abdominal pain, bloating and diarrhoea as well as vasogenic symptoms of tachycardia and flushing. Hypoglycaemia may occur as a late sign of dumping 1–3 hours after a meal. In contrast, post-gastric bypass reactive hypoglycaemia is thought to result from discordance between blood glucose circul...

ea0025p322 | Thyroid | SFEBES2011

Does the introduction of a pregnancy-specific TSH reference range improve the increases in management of treated hypothyroidism during pregnancy?

Parr John , Thomas Cecil , Wahid Shahid

Aims: In 2005 we defined a specific reference range for TSH in our pregnant population. We have assessed whether this has resulted in changed management of treated hypothyroidism in pregnant.Methods: The management of 73 mothers (Group 1) between January 2000 and July 2005 was compared to that of 67 mothers (Group 2) between August 2005 and December 2009. The upper limit of normal for TSH was 4.5 mU/l till July 2005; the specific TSH range defined for pr...

ea0065p112 | Bone and calcium | SFEBES2019

Recurrence of hypercalcaemia more than ten years following parathyroidectomy, was it an unfortunate coincidence or should we routinely follow up high risk patients for a longer period following parathyroidectomy

Abdelrahim Siddig , Thomas Cecil , Hardy Robert , Lim Jonathan , Onyekwelu Emeka

Context: Parathyroid carcinoma is a very rare malignancy. It arises as a separate structure rather than from a pre-existing parathyroid adenoma. It may be difficult to differentiate it from parathyroid adenoma based on histology. When evaluating primary hyperparathyroidism clinical correlation should be taken into account. Clinical features of parathyroid carcinoma may include male gender, palpable neck nodule and higher parathyroid hormone and serum calcium levels associated ...

ea0021p195 | Endocrine tumours and neoplasia | SFEBES2009

Ectopic Cushings complicated by paraneoplastic cerebral vasculopathy requiring high-dose steroid therapy

Jordan Alice , Parr John , Thomas Cecil , Wahid Shahid

In October 2006 a 53-year-old, non-smoking woman presented with ectopic Cushings from a small cell, undifferentiated carcinoma (Grade 3 neuroendocrine) from a 10 mm tumour at the left lung hilum (Cortisol: 09:00 a.m. 720 nmol/l; 24.00 mm 742 nmol/l. ACTH 114 ng/l). Four years before she had sustained a myocardial infarction, with atrial fibrillation, and was found to have Graves’ disease, being treated initially with carbimazole then radioactive iodine, becoming hypothyro...