Endocrine Abstracts

70-year-old male patient was referred by GP on account of low blood pressure and falling platelet levels. He reported persistent shortness of breath, lethargy and reduced exercise tolerance alongwith 2 stones weight loss with poor appetite in the last 4 months. He has a background history of corneal transplant and was on immunosuppressant therapy including mycophenolate mofetil which was tapered and then stopped few weeks ago when his GP first noticed the low platelet count. H...

A 45 yr lady;presented with lethargy and tiredness, amenorrhea with 2 stone weight loss 3 months after delivery of her baby. Her thyroid functions were done showing low free T4 (0.28 mu/l) as well as low TSH (07 pmol/l). (Thought to be cooling off period of post-partum thyroiditis). She was started on Thyroid hormone replacement (levothyroxine 150 mg once a day) Reviewed again after a month in endocrine clinic, she still feeling tired, lethargic and unwell still not having per...

30 yr/F, presented with C/O of palpitations, heat intolerance, significant unintentional weight loss with bulging of eyes and diplopia on extremes of vision. She had a background history of asthma, PCOS, obesity and difficulty in conceiving. OE, there was a smooth painless goiter. TFTs at diagnosis: TSH <0.05, T4=83, T3 >30.8 and TSH receptor antibody level (TRAB) of 9.0. She developed skin reaction to both Carbimazole and PTU, hence treated with total thyroidectomy wi...