Endocrine Abstracts

Background: For patients on hydrocortisone (HC) steroid therapy, educating families on ‘Steroid Sick Day Rules’ (SSDR) is key in preventing adrenal crises.Aim: To audit education provided to patients and their families in emergency management of known adrenal insufficiency against published standards.Method: A questionnaire assessing information provision and confidence with SSDR was given to 49 caregivers of children on ...

Introduction: Childhood adrenocortical tumours (ACT) are extremely rare (world wide incidence: 0.3/million per year). Most affected are young girls – female:male 2:1, peak age at diagnosis – 3.5 years.Case report: A 2.5-year-old girl presented with a 4-month history of greasy hair, acne, and weight gain especially around face and upper shoulders. She had irritability, daytime lethargy, and night-time sleep disturbance. She later developed pubic...

Introduction: Childhood adrenocortical tumours (ACT) are extremely rare (worldwide incidence: 0.3/million per year). Most affected are young girls – female:male 2:1, peak age at diagnosis −3.5 years.Case report: A 2.5-year-old-girl presented with a 4-month history of greasy hair, acne, weight gain, especially around face and upper shoulders. She had irritability, daytime lethargy and night-time sleep disturbance. She later developed pubic hair...

Introduction: Thyrotroph adenomas are extremely rare accounting for only 0.5–2.8% of paediatric pituitary adenomas. Almost 90% of thyrotropinomas are macroadenomas.Case report: A 9-year-old boy presented with acute onset of a right divergent squint on a background of 6 months of visual disturbance. Opthalmological assessment confirmed reduced visual acuity and visual field defects.MRI revealed a large macroadenoma invading the...

The incidence of children presenting with DKA at diagnosis has been on the rise worldwide1. 25.8% of newly diagnosed children had DKA at diagnosis according to the NPDA report (2020/21). 34% of newly diagnosed children in the Yorkshire and Humber(Y&H) region presented in DKA2. Delayed presentation due to lack of awareness is a likely cause for that.Aim: To review the presentations of DKA at diagnosis in the YH r...