Searchable abstracts of presentations at key conferences in endocrinology

ea0038p49 | Clinical practice/governance and case reports | SFEBES2015

Outcome of patients with adrenal incidentalomas: an analysis of 145 patients from a single centre

Austin Emily , Rahim Asad , Shepherd Lisa , Bates Andrew

Adrenal incidentalomas are a common clinical dilemma with increasing utilisation of cross-sectional imaging modalities. The aims of management include: i) exclusion of possible malignancy and ii) identification of hormonally active lesions.Our unit has adopted AACE guidelines, including a screen for adrenal androgen hypersecretion. This audit aimed to review the utility of such an approach.We identified case notes of 145 consecutiv...

ea0038p68 | Clinical practice/governance and case reports | SFEBES2015

Management of thyroid disease in pregnancy: experience from an antenatal thyroid clinic

Thomas Micha , Hassan-Smith Zaki , Bates Andrew , Rahim Asad

Background: Thyroid disease in pregnancy is common with hypothyroidism predominating.Objectives: To determine the aetiology of thyroid disease in patients attending an antenatal thyroid clinic, their baseline biochemical and therapeutic characteristics as well as subsequent management.Subjects/setting: 114 women with a mean 31 years (±5) age were seen by a consultant endocrinologist in the antenatal thyroid clinic, between Sep...

ea0037ep61 | Adrenal cortex | ECE2015

The utility of current guidelines in the assessment of adrenal incidentalomas

Austin Emily , Shepherd Lisa , Rahim Asad , Bates Andrew

Adrenal incidentaloma’s are a common clinical dilemma with increasing utilisation of cross-sectional imaging modalities. The aims of management include i) exclusion of possible malignancy and ii) identification of hormonally active lesions. Our unit has adopted AACE guidelines, including a screen for adrenal androgen hypersecretion. This audit aimed to review the utility of such an approach. We identified case notes of 100 consecutive adrenal incidentaloma’s referred...

ea0034p98 | Clinical practice/governance and case reports | SFEBES2014

Outcomes following pituitary surgery: a single centre audit

Manolopoulos Konstantinos , Bates Andrew S , Shad Amjad , Rahim Assad

Introduction: Pituitary surgery is associated with post-operative complications including hypopituitarism and visual field defects. In order to ensure that our surgical outcomes were comparable with other centres, we audited the outcome of a cohort of patients referred for surgery at a single centre.Methods: A retrospective audit of 27 consecutive patients diagnosed with pituitary adenoma at Heartlands Hospital Birmingham, who underwent trans-sphenoidal ...

ea0034p198 | Nursing practise | SFEBES2014

Emergency hydrocortisone kits: assessment of knowledge and skills of patients and family

Shepherd Lisa , Ulnasah Sadaf , Rahim Asad , Shakher Jayadave , Bates Andrew

It is recommended that patients with adrenal insufficiency should be in possession of an emergency hydrocortisone kit and have sufficient knowledge and skills to administer it. Historically, in our unit patient education was dependent on referral from Doctors to endocrine specialist nurses (ESN’s). This study sought to assess if patients owned a kit and if patients and family were competent to administer the injection if required.A ‘snapshot&#1...

ea0029p256 | Calcium & Vitamin D metabolism | ICEECE2012

The impact of different vitamin D preparations for the treatment of vitamin D deficiency in primary hyperparathyroidism (PTHP)

Altaf Q. , Ludlam S. , Richardson T. , Kakad R. , Bates A. , Rahim A.

We have previously demonstrated that 80% of patients with PTHP will have co-existing vitamin D deficiency suggesting an increased metabolism of vitamin D. There are few data assessing the impact and safety of different vitamin D preparations on calcium, parathyroid hormone (PTH) and vitamin D in this group. Here, we report the details of replacement therapy using different vitamin D preparations.In a retrospective study of 22 (20 F:2 M and 8 Asian:14 Non...

ea0028p4 | Bone | SFEBES2012

The impact of different vitamin D preparations for the treatment of vitamin D deficiency in primary hyperparathyroidism (PTHP)

Ludlam Sophie , Richardson Thomas , Kakad Rakhi , Bates Andrew , Rahim Asad

We have previously demonstrated that 80% of patients with PTHP will have co-existing vitamin D deficiency suggesting an increased metabolism of vitamin D. There are few data assessing the impact and safety of different vitamin D preparations on calcium, parathyroid hormone (PTH) and vitamin D in this group. Here, we report the details of replacement therapy using different vitamin D preparations. In a retrospective study of 22 (20F:2M and 8 Asian:14 Non-Asian) patients with co...

ea0021p8 | Bone | SFEBES2009

Vitamin D deficiency in primary hyperparathyroidism: prevalence and complications

Jahagirdar Vidhya , Yahya Sundus , Bates Andrew , Rahim Asad

Primary hyperparathyroidism (1 in 1000) (1) and occult vitamin D deficiency (14% of the healthy adult population) are relatively common disorders (2). Hypercalciuria, renal tract calcification and reduced bone mineral density (BMD) are recognised complications of primary hyperparathyroidism. We report details of the prevalence of vitamin D deficiency and complications in patients with primary hyperparathyroidism.It is a retrospective study of 44 patients...

ea0019p67 | Clinical practice/governance and case reports | SFEBES2009

Secondary ovarian failure in a patient with prolonged anorexia

Kennedy A , Shepherd L , Hughes D , Rahim A , Bates A , Bellary S

The association of low body weight due to excessive exercise and/or eating disorders, and hypothalamic amenorrhoea is well documented. Delayed or arrest of puberty may occur if low body weight occurs before or during puberty. Normal menstruation is restored once a healthy body weight is regained. In this case, body weight normalised but ovarian function did not.A 34-year-old woman attended our thyroid clinic for subclinical hypothyroidism following an ep...

ea0015p63 | Clinical practice/governance and case reports | SFEBES2008

Specialist obesity services: are we seeing the right patients?

Flutter Laura , Faghahati Leila , Palin Suzzane , Tahrani Abd , Rahim Asad

Background: Obesity levels and the demand for obesity services are increasing. Those with morbid obesity require specialist care and consideration for bariatric surgery. Based on recent figures and NICE guidelines, at least 35 000 individuals in Birmingham alone may be suitable for surgery. Numbers currently assessed are limited due to lack of resource and expertise. This audit reviewed baseline characteristics of patients referred for specialist obesity and bariatric services...