Endocrine Abstracts

5alpha-Reductase1 (5aR1) catalyses glucocorticoid metabolism, potentially modulating glucocorticoid clearance and therefore affecting the activity of the hypothalamic–pituitary–adrenal (HPA) axis. 5aR1 is up regulated in obesity associated with activation of the hypothalamic–pituitary–adrenal (HPA) axis. Here we investigated if inhibition of 5aR1 impairs glucocorticoid clearance and suppresses the HPA axis.Age-matched male and female ...

Aim: Management of type 1 diabetes in children is a complex process. Active participation of the child and family in diabetes care is essential for achieving good glycaemic control. A good parental understanding of diabetes and its management would be considered a prerequisite for their involvement in the care of their children’s diabetes. The aim of this study was to explore the relationship between parental knowledge of diabetes self management and glycaemic control of ...

Aim: In this study we have compared the adequacy rates of FNA samples between more experienced and less experienced operators in thyroid FNA.Introduction: The prevalence of thyroid nodules is estimated to be about 4–7%, increasing up to 50% in the adult population. US guided FNA has become the preliminary investigation of choice for thyroid nodules, as it is widely available and has been proven to increase diagnostic efficacy....

Multiple Endocrine Neoplasia Type 1(MEN1) syndrome is commonly associated with the three ’P’s-pituitary, parathyroid and pancreatic lesions. However, increasingly, thoracic neuroendocrine tumours (NETs) are being recognised with the syndrome. We present a case of MEN1 syndrome who primarily presented with a lung carcinoid tumour. A 31-year-old lady with without a significant past medical history presented with 2-month history of a persistent cough. ...

Case History: A 57 year old male, who was known to have primary hyperparathyroidism was admitted to hospital due to hypercalcaemia on routine blood tests (adjusted S. calcium- 3.44 mmol/l.) He had no symptoms due to hypercalcaemia. This was his 5th admission since the diagnosis 18 months ago, each admission requiring treatment with IV fluids and IV bisphosphonates. SESTAMIBI and ultrasound scans of the thyroid and parathyroids had previously localised a likely right inferior p...

Introduction: Vitamin D deficiency is known to cause adverse outcomes in pregnancy and has shown to have an association with Gestational Diabetes Mellitus (GDM)Aim: To evaluate the relationship between GDM and Vitamin DMaterials and Methods: In a retrospective study we explored the Vitamin D levels (Sufficient >50nmol/l - G1, Insufficient 25-50nmol/l - G2, Deficient <25nmol/l - G3), GTT results, diabetes status and pregnanc...

Background: Hyponatraemia is the most common electrolyte abnormality encountered in hospitals and has been independently associated with increased morbidity and mortality1. An appropriate work-up with guideline-based investigations and management is, therefore, crucial to allow accurate diagnosis and optimisation of patient care.Case Presentation: A 49-year-old with no significant past medical history presented with 2 weeks of persistent nause...

Introduction: Prader–Willi syndrome [PWS] is a complex genetic disorder with hypothalamic pituitary dysfunction that includes obesity, diabetes and behaviour changes. Obesity in PWS is due to decrease of oxytocin neurons and leptin resistance causing hyperphagia. Prader–Willi syndrome is associated with high incidence of altered glucose metabolism. The etiology for diabetes in PWS may be related to morbid obesity and resultant insulin resistance.<p class="abstext...

Carcinoid tumours are the commonest neuroendocrine tumours (50%), with a prevalence of 3–5/100,000. 10% present with carcinoid syndrome due to release of kinins and serotonin, released directly from the tumour in to the blood or due to liver metastases. Carcinoid heart disease due to ovarian carcinoid is extremely rare. Here we present such a case. A 69 year old female presented to surgeons with increased bowel frequency and weight loss. Blood tests, colonoscopy and biops...

Aim: To explore parents’ views on what information should be given when a child is diagnosed with Type 1 diabetes.Method: A questionnaire based, mixed quantitative and qualitative pilot study was conducted. All children diagnosed in the previous year were identified. A questionnaire which contained a list of topics recommended by NICE/ISPAD was developed. Parents were asked to complete this after their clinic appointment. They were asked to divide t...