Endocrinology

Hyperthyroidism, an overlooked cause of severe hypercalcaemia

Lorna Clark, Abdul Mohammed, Anita Pillai, Angelos Klotsas, Paul Masters and Nigel Lawson

We present a case of severe symptomatic hypercalcaemia secondary to hyperthyroidism alone. Hypercalcaemia was managed with pamidronate which unfortunately resulted in transient hypocalcaemia. The key message is that thyroid function should be checked in all patients who present with hypercalcaemia and that endocrine input is needed sooner rather than later for appropriate...

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(Vol 10 p 110-112, Endocrinology: 22 December 2010)

Late metastases to the pancreas from resected renal cell carcinoma masquerading as multiple endocrine neoplasia

Danijela Tatovic, David Farrugia, Frank Jewell and Thomas Ulahannan

We report the case of 58-year-old gentleman with pancreatic masses, possibly of neuroendocrine origin, with the history of renal carcinoma, primary hyperparathyroidism and pituitary cyst. Histological analysis after pancreatectomy revealed metastases from renal cancer. This unusual case illustrates the challenging differential diagnosis between multiple endocrine...

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(Vol 9 p 14-17, Endocrinology, Oncology: 28 May 2009)

Diabetic ketoacidosis and prolonged hyperchloraemic acidosis in a patient treated with risperidone

Steven Fong, Alex Bazeos, Julia Thomas and Tahseen A. Chowdhury

Diabetic ketoacidosis (DKA) is a life-threatening complication of diabetes. The development of metabolic syndrome is widely recognised with the use of atypical antipsychotic agents, and not infrequently DKA has been described with some of these drugs. We describe a complex patient with HIV who presented with severe DKA and prolonged hyperchloraemic acidosis, which we...

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(Vol 8 p 22-24, Endocrinology: 26 June 2008)

Parathyroid incidentalomas: case report and literature review

A. Hotouras and P. Sinha

We report the case of a 60-year-old woman with a multinodular goitre who underwent total thyroidectomy and was found intraoperatively to have a parathyroid ‘incidentaloma’. The surgical approach to the management of patients with incidental parathyroid disease is discussed and a review of the literature is presented.

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(Vol 7 p 45-47, ENT/Head Neck Surgery, General Surgery, Endocrinology: 14 May 2007)

Hypothyroidism presenting as recurrence of previously surgically decompressed carpal tunnel syndrome

V. Reid, A. S. M. Jawad and J. D. Perry

We report the case history of a 45-year-old woman who presented with symptoms of bilateral carpal tunnel syndrome 8 years after a successful surgical decompression of both tunnels.

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(Vol 5 p 26-27, Endocrinology, General surgery: April 2005)

Thomas Addison and his disease

A. B. Grossman

Thomas Addison’s description of the disease named after him first appears in a book entitled ‘On the constitutional and local effects of disease of the supra-renal capsules’ published by Samuel Highley of 32 Fleet Street London in 1855. This is a superb publication graced with excellent figures as can be seen from the accompanying reprint. Case II from the five cases...

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(Vol 4 p L8-L9, Landmark Case Report; Endocrinology: May 2004)

Painful leg and loss of vision in a diabetic

S. Patel, S. Lightman and W.A. Lynn

We report a case of recurrent bacteraemia due to Staphylococcus aureus with associated pyomyositis and endophthalmitis in an insulin-dependent diabetic with chronic liver disease secondary to alcohol abuse.

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(Vol 2 p 37-39, Vascular disease; Ophthalmology; Endocrinology: July 2002)

Contents by specialty

Editor-in-Chief

Frank Cross

Consultant Surgeon

St. Bartholomew's and The London NHS Trust, UK

Editors

Neil Barnes

Consultant Physician

St. Bartholomew's and The London NHS Trust, UK

Ali Jawad

Consultant Rheumatologist

St. Bartholomew's and The London NHS Trust, UK