Endocrine Abstracts

Introduction: Thyroid dysfunction is one of the commonest endocrine disorders with hypothyroidism being the most common thyroid dysfunction in the elderly population[1]. An elderly patient with thyroid dysfunction can be asymptomatic, or present with non-specific symptoms, making biochemical testing of thyroid function useful and essential. We reviewed the screening rate and prevalence of thyroid dysfunction in older medical patient patients admitted to an Irish sec...

Lactation is under the control of the anterior and posterior pituitary via prolactin and oxytocin release. A number of galactogogues, including dopamine antagonists, have been described and used with success in lactation induction. To date, there are no reports in the literature of their use in patients with panhypopituitarism. We present the case of a forty-year-old female known to endocrinology services with a background of anterior panhypopituitarism and AVP deficiency asso...

Insulin antibodies were common when animal insulin was used given its high immunogenicity. The advent of recombinant DNA technology in insulin production has reduced the incidence of insulin antibodies and its presence is rarely considered clinically significant. Exogenous Insulin Antibody Syndrome (EIAS) describes the formation of insulin antibodies to exogenous insulin. We present a case of a 65-year-old gentleman who was diagnosed with diabetes mellitus secondary to pancrea...

Patients with adrenal insufficiency should be prescribed stress dose steroids in acute settings to avoid adrenal crisis. Adrenal crisis is life-threatening if not recognized and if treatment is delayed. This audit aimed to identify the current practice of sick-day rule management in University Hospital Limerick of admitted patients with adrenal insufficiency. A cross-sectional analysis was conducted on inpatients referred for endocrinology consultation for adrenal insufficienc...