Endocrine Abstracts

An 85-year-old lady presented to hospital with fast atrial fibrillation and had some signs of pulmonary congestion. Her admission blood tests were normal apart from a raised urea. Her liver function tests on admission were normal (AST 26 ALP 99). Thyroid function tests showed that she was thyrotoxic with fT4 42 and TSH<0.03. Her TPO antibodies were negative. She was started on carbimazole 20 mg od.Repeat liver function tests showed that her GGT and a...

Case history: A 69-year-old Caucasian male presented with persistent abdominal pain and was found to have a large right adrenal mass on CT. Interestingly his family history revealed that his daughter had been treated for Cushing’s disease. He was normotensive and denied classical symptoms of catecholamine excess. He had exertional dyspnoea in keeping with COPD. Subsequent tests were consistent with a secretory phaeochromocytoma and urine normetadrenaline 85,671 nmol/day (...

A 55-year-old female presented to the Endocrine Clinic with Graves’ disease which was treated with carbimazole for 18 months. Her initial symptoms were facial sweating and dry lips on background of a multinodular goitre confirmed on thyroid ultrasound. TSH was <0.01 mU/l, free T4 was 42.2, and free T3 18 pmol/l. Thyrotoxicosis recurred in an attempt to taper down the dose of carbimazole and a decision was made to proceed with radioactive iodine t...