Endocrine Abstracts

Nowadays neuro-radiological explorations are so frequent that radiologists discover more and more pituitary lesions. In this work we would like to study pituitary microlesions (PML: inferior or equal to 10 mm) in order to analyze age and sex repartition, clinical symptoms leading to the diagnosis, position in the pituitary area and the apparent etiologies.All our patients are examined and hormonal exploration is as complete as possible.<p class="abst...

When you sit in meetings I know you will all have thought at different times that this is the most (tick one of the following boxes) – boring – incomprehensible – ridiculous – interesting – inspirational – fantastic – talk you have ever heard. Now that oral presentations at meetings are rare for many with posters taking centre stage it is really important to make the best of the opportunity to impress potential future employers etc with your ...

Medical imaging techniques have been in routine clinical use across many different diseases for the better part of 100 years. During this time, there has been a trend towards progressively greater sensitivity of detection and improved image resolution. The advent of the true molecular imaging techniques of PET (Positron Emission Tomography), SPECT (Single Photon Emission Tomography) and Optical imaging, is now enabling the visualization of biological processes at the cellular ...

Bariatric surgery has had to change its name because as a ‘weight loss treatment’ it was far less successful than as a ‘health gain treatment’. The focus now is on metabolic surgery and no longer on just reducing kilograms but rather on improving organ function. The organs that appear to benefit most are those damaged by the combination of type 2 diabetes and excess adipocytes. At the heart of success of surgery is the significant gut adaptation which then ...

A 17 year old young lady with known learning difficulties, dysmorphic features and ulcerative colitis presented with hyperglycaemia aged 15 years and 8 months. To diagnose her learning difficulties and dysmorphysms: Karyotype and buccal swabs were normal with no evidence of mosaic Downs, normal FISH for Smith Magenis syndrome (17p deletion), DNA testing for Prader Willi syndrome showed biparental inheritance (therefore ruling out diagnosis except in very rare cases), Fragile X...

‘Clinicians who have never missed the diagnosis of Cushing's syndrome or have never been fooled by attempting to establish its cause should refer their patients with suspected hypercortisolism to someone who has.’ This quote, by Professor James Findling, an expert in Cushing’s syndrome, is a reminder of the difficulties in diagnosing Cushing’s syndrome. These difficulties in part reflect the increasing incidence of obesity, hypertension and type 2 diabetes....

Anorexia nervosa has the highest mortality of all psychiatric conditions. Sligo University Hospital (SUH) uses the MARSIPAN protocol for the (Management of Really Sick Patients with Anorexia Nervosa) for inpatient treatment.Case 1; 22-year-old lady with a BMI of 12.06 kg/m2, admitted voluntarily and reported food and bowels dominated her life, did not leave the house, consuming only nutritional ‘supplements, l...

‘Clinicians who have never missed the diagnosis of Cushing's syndrome or have never been fooled by attempting to establish its cause should refer their patients with suspected hypercortisolism to someone who has.’ This quote, by Professor James Findling, an expert in Cushing’s syndrome, is a reminder of the difficulties in diagnosing Cushing’s syndrome. These difficulties in part reflect the increasing incidence of obesity, hypertension and type 2 diabetes....

Anorexia nervosa has the highest mortality of all psychiatric conditions. Sligo University Hospital (SUH) uses the MARSIPAN protocol for the (Management of Really Sick Patients with Anorexia Nervosa) for inpatient treatment.Case 1; 22-year-old lady with a BMI of 12.06 kg/m2, admitted voluntarily and reported food and bowels dominated her life, did not leave the house, consuming only nutritional ‘supplements, l...

A 59-year-old woman with 46XY complete androgen insensitivity syndrome was referred back to our service. She also has history of hypertension and migraines. She was gonadectomised at the age of 15 years and treated with Ethinylestradiol. She married and was able to have enjoyable sex without the need for vaginoplasty or dilators. However, at 54 years she was firmly advised to stop Ethinylestradiol due to satisfactory bone density and “risks of HRT outweighing benefits&#14...