Searchable abstracts of presentations at key conferences in endocrinology

ea0091cb21 | Additional Cases | SFEEU2023

The Swinging Sixties: Drug-fuelled Highs and Lows

Ying Khor Xiao , Syed Akheel

A man in his sixties, with no previous history of thyroid dysfunction (Table 1), was commenced on Amiodarone for atrial fibrillation at the age of 64 years. 24 months after starting on Amiodarone, the patient was found to have a low TSH with markedly elevated fT4 but normal free T3 (fT3). He was asymptomatic, there was no goitre, thyroperoxidase and TSH-receptor antibodies were negative. The thyroid dysfunction was managed by non-interventional observation with gradual resolut...

ea0082wa3 | Workshop A: Disorders of the hypothalamus and pituitary | SFEEU2022

A case of pituitary apoplexy in a macroprolactinoma

Ying Khor Xiao , Kaushal Kalpana , Joseph Pappachan

A 32-year-old man was urgently referred to the endocrinology and neurosurgical teams by the neuro-ophthalmologist. He gave a 3 week history of sudden onset of left-sided visual impairment, with further visual deterioration a week previously. Urgent review in the eye clinic had revealed that the visual acuity in his left eye was reduced to finger counting only, with a pale left optic disc and a relative afferent pupillary defect on examination. Visual field testing demonstrated...

ea0091wd16 | Workshop D: Disorders of the adrenal gland | SFEEU2023

Diagnosis of Cushing’s in the presence of unilateral adrenal adenoma: not always what it seems

ying Khor Xiao , Majeed Waseem , Syed Akheel

Case presentation: A 34-year-old woman was diagnosed with hypertension from the age of 26 years. She had been investigated in Canada previously and discovered to have a small left adrenal nodule, satisfactory aldosterone and renin levels, but raised urinary free cortisol levels and non-suppressed cortisol levels on overnight 1 mg dexamethasone suppression test. Upon assessment in our service, the patient reported a history of easy bruising and insomnia. Her BMI was 28.1 kg/m&#...

ea0086p263 | Neuroendocrinology and Pituitary | SFEBES2022

Pitfalls in the Biochemical Evaluation of Cushing’s Syndrome: A Challenging Case and Literature Review

Hughes Christopher , Laing Ian , Rajgopal Ranjith , Khor Xiao , Howell Simon , Kaushal Kalpana

A 47-year-old female presented with facial swelling, easy bruising, and concern regarding possible CushingÂ’s syndrome. She had developed secondary amenorrhoea 3 years previously; biochemistry suggested hypogonadotrophic hypogonadism, felt to be hypothalamic secondary to low BMI and intense exercise. She was normotensive, and BMI was 17.4. There was no evidence of abdominal striae, proximal myopathy or hirsutism, but her face appeared rounder and plethoric compared with a ...