Searchable abstracts of presentations at key conferences in endocrinology

ea0055wg3 | Workshop G: Disorders of the parathyroid glands, calcium metabolism and bone | SFEEU2018

Parathyroid hypoplasia - an uncommon cause of hypocalcaemia

Montebello Annalisa , Vella Sandro

A 23 yr old lady was admitted with a generalized tonic clonic seizure in May 2016. Her corrected calcium was 1.47 mmol/l (2.05–2.6 mmol/l) She was initially treated with intravenous calcium gluconate and subsequently switched to oral calcium carbonate tablets and one alphacalcidol tablets once her calcium improved. The patient gave a history of a prior seizure in 2013. At this point she was not investigated for any electrolyte imbalances. She was initially treated with th...

ea0055cb14 | Additional Cases | SFEEU2018

Insulinoma – a cause of recurrent hypoglycaemias

Montebello Annalisa , Vella Sandro

A 72 year old lady presented to endocrine clinic in January 2016 with a history of frequent episodes of feeling increasingly lightheaded, tremulous, sweaty and hungry. All symptoms resolved after eating. Her family doctor had twice documented a capillary glucose lower than 4 mmol/l. Continuous blood glucose monitoring was performed but there were no episodes of hypoglycaemia picked up. She was admitted for a 72 h fast in September 2016. Her capillary blood glucose readings nev...

ea0091cb10 | Additional Cases | SFEEU2023

Relapse of Graves’ Disease

Gatt Arlene , Vella Sandro

A 23-year-old female presented with a three-month history of palpitations, tremors and recent anxiety. This was associated with hot flushes in the morning, heat intolerance and increase in appetite. Otherwise, bowel habits were normal and the patient suffered from long-standing menorrhagia with regular menstrual cycles. She denied a recent viral illness, neck pain or swelling, dysphagia, shortness of breath or dysphonia. She denied thyroid eye disease symptoms. She denied a pa...

ea0091cb62 | Additional Cases | SFEEU2023

Diagnosis and Management of Primary Hyperparathyroidism

Gatt Arlene , Vella Sandro

A 57-year-old gentleman presented with severe hypercalcaemia (Corrected Calcium 3.48 mmol/l) associated with polyuria and polydipsia. He denied pruritus, nausea, vomiting, abdominal pain, constipation or other aches and pains. He denied syncope, seizures, haematuria or recent urinary tract infections. He had a past history of bilateral urolithiasis as well as right pyelonephritis and hydronephrosis requiring nephrostomy, Crohn’s Disease and Diverticular Disease. Drug Hist...

ea0065p63 | Adrenal and Cardiovascular | SFEBES2019

Adrenal medullary hyperplasia mimicking phaeochromocytoma – a case report

Montebello Annalisa , Vella Sandro

Introduction: Adrenal medullary hyperplasia (AMH) is a rare syndrome of catecholamine excess.Case: A 59 year old lady known to suffer from hypertension underwent a computed tomography scan of the abdomen as further investigation for unprovoked deep vein thrombosis. This showed a 37 mm right adrenal mass which enhancedheterogeneously with contrast on the porto-venous phase and became homogenously hyperdense on the delayed phase. Findings were not typical ...

ea0062wa9 | Workshop A: Disorders of the hypothalamus and pituitary | EU2019

Non-functioning pituitary adenoma with pituitary apoplexy

Montebello Annalisa , Mangion Jessica , Vella Sandro

A 60-year-old gentleman known to suffer from atrial fibrillation (on warfarin therapy), hypertension and beta-thalassemia trait presented to the endocrine clinic for follow-up of hypothyroidism for which he was started on levothyroxine by his general practitioner about 2 years before. Serial thyroid function tests revealed a progressive reduction in thyroid stimulating hormone (TSH) levels in the setting of a decline in free thyroxine (fT4) levels. The patient denied any histo...

ea0062wc1 | Workshop C: Disorders of the thyroid gland | EU2019

Toxic Thyroid Adenoma in the context of Subclinical Hyperthyroidism

Mangion Jessica , Montebello Annalisa , Vella Sandro

Subclinical hyperthyroidism is defined as low serum thyroid stimulating hormone (TSH) in the setting of normal levels of free T4 (fT4) and free T3 (fT3). Treatment for subclinical hyperthyroidism can be considered when TSH is persistently <0.1, particularly in (i) the presence of hyperthyroid symptoms, (iii) individuals aged >65 years, (iii) the presence of heart disease or osteoporosis. We present a case of a 34-year-old lady who was referred to endocrine outpatient c...

ea0062wd11 | Workshop D: Disorders of the adrenal gland | EU2019

Adrenal Insufficiency secondary to Addison’s disease

Mangion Jessica , Montebello Annalisa , Vella Sandro

Adrenal insufficiency is a potential life-threatening condition due to lack of cortisol and early diagnosis and management is potentially lifesaving. We describe a 79-year-old lady who presented to the emergency department with new onset confusion, nausea, vomiting and decreased oral intake. Her relatives also reported a one month history of lethargy and weakness. She suffered from gastro-oesophageal reflux for which she was taking Ranitidine, and had a history of total abdomi...

ea0062we8 | Workshop E: Disorders of the gonads | EU2019

A case of primary testicular failure

Montebello Annalisa , Mangion Jessica , Vella Sandro

A 38-year-old gentleman was referred to the endocrine clinic after a male fertility test done as part of investigation for infertility showed the following:Volume 4.4 mlTotal sperm number =6.16 Mill/ejacSperm concentration 1.4 Mill/mlProgressive motility 10%Nonprogressive motility 1%Impotence 89%55% sperm vitality<...

ea0062wh1 | Workshop H: Miscellaneous endocrine and metabolic disorders | EU2019

Secondary adrenal failure with profound hyponatraemia

Montebello Annalisa , Mangion Jessica , Vella Sandro

A 73-year-old gentleman known to suffer from hypothyroidism was admitted to hospital with severe symptomatic hyponatraemia of 112 mmol/l. He was acutely confused with a GCS of 12/15. He was found to be in urinary retention with 650 ml residual urine post catheterisation. Initially, his serum sodium concentration improved on catheterisation and fluid restriction. The syndrome of inappropriate ADH secretion in the context of urine retention was initially suspected on the bases o...