Endocrine Abstracts

Case history: A 32 year old female was admitted for an elective gynaecological procedure LLETZ (large loop excision of the transformation zone) under general anaesthesia as per patient”s request. An uncomplicated LLETZ procedure was performed. Post operatively, patient was found to be tachycardiac and had severe palpitations with nausea. She then reported that she had recently lost a significant amount of weight, had been suffering with anxiety, palpitations, and tremors ...

Blood pressure homeostasis is regulated via renal sodium reabsorption by aldosterone and glucocorticoids, although the role of glucocorticoids is less clear. High-salt diets lead to suppression of aldosterone in plasma, but changes in available ligands for the mineralocorticoid and glucocorticoid receptors in kidney subregions are unknown. Hypothetically, high-salt intake modifies aldosterone and corticosterone amounts in specific kidney subregions. Kidney cryosections from ma...

Atherosclerotic cardiovascular disease (ASCVD) is a chronic inflammatory disorder characterised by the gradual build-up of plaques in the arterial wall. Unstable plaques are more dangerous than stable plaques as they are prone to rupture and obstruct blood flow, resulting in heart attacks and strokes. Lipids play a key role in plaque progression, yet their exact involvement remains elusive. We hypothesise that stable or unstable plaques will have distinct spatial lipid phenoty...

Thyroid storm is rare and life threatening manifestation of thyroid hormone excess. It has high mortality rate with delayed treatment. As early intervention is associated with improved patient outcome, prompt diagnosis based on clinical grounds is of paramount importance. We present a case of thyroid storm which was different in terms of absence of fever on presentation, presence of thrombocytopenia and deranged cholestatic LFTs which resolved after treatment of thyroid storm....

Hypothyroidism due to autoimmune aetiology can be associated with other autoimmune conditions such as Type 1 Diabetes Mellitus (T1DM) and primary adrenal insufficiency. Ruling out primary adrenal insufficiency is important in any patient with suspected autoimmune hypothyroidism.Case: 43-year-old female complaining of general lethargy, sore throat, and neck pain. She was found to be hyponatraemic (Na+ 130) after being reviewed by the GP and was advised to...

Background: Cushing’s disease (CD) is rare, and standard treatment is trans-sphenoidal surgery (TSS). We previously reported a remission rate of 56% in patients undergoing TSS for CD from a microadenoma/normal pituitary on MR in our unit. Early post-operative hypocortisolaemia performs well at predicting durable remission early on. Post-operative day 1 cortisol of <55 nmol/l has a 100% sensitivity and <138 nmol/l 95% sensitivity at predicting remission. Since Octo...

Introduction: Background: Pituitary adenomas can be divided into functioning pituitary adenoma (FPA) and non-functioning pituitary adenoma (NFPA). Pituitary adenomas can also be classified based on their size as microadenoma(<1cm) or macroadenoma (>1cm).Cases: 1. A 33-year male was admitted with a 4-month history of headaches, generalized aches and pains, weight loss, lethargy, and erectile dysfunction. He was reviewed by t...

Introduction: Multiple Endocrine Neoplasms (MEN) are a group of rare hereditary tumours which have strong predisposition to endocrine organs. MEN1 is an autosomal-dominant inherited neoplasm with a broad genetic phenotype, characterised by synchronised or asynchronous triad neoplasms localised in the anterior pituitary, parathyroid and pancreas (Kamilaris and Stratakis, 2019; Li et al., 2022). Despite advances in the fields of diagnostic techniques and therapies, MEN1...

Introduction: Immune-checkpoint inhibitors are used in patients with advanced cancers. They are associated with a wide array of side effects known as immune-related adverse events (irAEs). These can affect skin, gastrointestinal tract, multiple endocrine glands, liver and other systems. We report a 69-year-old male with a past medical history of Chronic Obstructive Pulmonary Disease and Lung cancer who was referred by the oncology team with a clinical and biochemical picture o...

A 27-year old Caucasian woman was referred to the Endocrine Bone Clinic after investigations for general malaise revealed hypercalaemia and elevated parathyroid hormone levels. She had no history of constipation, abdominal pain, bone pain, or other related symptoms. She had no history of renal stones or fractures and no change in weight. Her past medical history included asthma and she took a salbutamol inhaler as required. She had no family history of endocrine pathology. Gen...