Patients with adrenal insufficiency (AI) have excess mortality, in part due to the occurrence of life-threatening crises. Infective processes, including that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), are recognised as major precipitant Adverse reactions ChAdOx1 SARS-CoV-2 vaccine occur a significant proportion individuals, however, mild-moderate majority cases.Case series.We describe five cases where more adverse led actual or incipient crises requiring parenteral...

Gastrointestinal stromal tumours (GISTs) are mesenchymal originating usually from stomach and small intestines, at times unusual sites without GI (gastrointestinal) tract involvement. GISTs frequently occur among men in the age range of 60 to 65 years. These rarely symptomatic discovered incidentally on radiology or intraoperatively, diagnosis is confirmed histology IHC (immunohistochemistry). This instance represents an presentation a 65-year-old male who presented with symptoms fatigue,...

Summary A previously fit 56 year old female presented with a rapidly progressive and fatal pneumococcal septicaemia disseminated intravascular coagulation. Post-mortem studies confirmed Waterhouse-Friderichsen syndrome revealed an anatomically normal spleen; intracellular diplococci were seen within splenic macrophages providing evidence of function. This appears to be only the second case due in patient spleen.

A 56-year-old woman with a medical history of hypertension presented to our hospital back pain, abdominal vomiting and elevated blood pressure. The laboratory parameters including evaluation for secondary were within normal ranges at the time presentation. During her hospitalisation, fluctuations in pressure pulse observed which attributed autonomic disturbances, cause was unknown. On seventh day after presentation hospital, patient developed focal seizures slurred speech believed be...

A 31-year-old Indian man presented with drooping of the right eyelid since 1 month, slight deviation angle mouth to 20 days, difficulty in swallowing (initially regard solids, and later on liquids) 15 nasal regurgitation days a twang days. His past history was not significant, with no fever, weight loss, diarrhoea, swollen glands, rash, disfigurement the hands feet, loss eyebrows, or any suggestive limb weakness, numbness tingling. He medications. None his parents had health problems. He...

A 36-year-old woman was diagnosed with compensated cirrhosis of liver secondary to Budd-Chiari syndrome (BCS) and had undergone stenting a thrombosed left hepatic vein. Eight months later, she presented jaundice right upper quadrant pain. CT revealed multiple focal lesions in the liver, which on biopsy proved be hemangioendothelioma (HHE). Her disease ascites progressively increased. Four magnetic resonance cholangiopancreatography showed an advanced stage HHE infiltration common bile duct...

A 36-year-old man, a rickshaw driver by profession, who was diagnosed with HIV infection 3 years back, on regular antiretroviral therapy consisting of zidovudine, lamivudine and nevirapine. He presented complaints a pruritic rash both his legs since 7 months, which started as single lesion and gradually spread to the current state over the next 6 weeks. Barring therapy, he did not have any other drug history. He consume alcohol, did chew tobacco and smoke. His CD4-positive cell count at...

Summary A 77-year-old female patient with a history of treated breast cancer and recently diagnosed laryngeal presented severe hypercalcaemia associated suppressed parathyroid hormone (PTH) levels. Her initial investigations included 25-hydroxy vitamin D levels, short synacthen test, bone scan, myeloma screen thyroid function tests which were within normality. computerised tomography (CT) scan showed some right lung apical fibrotic changes. PTH-related peptide (PTHrP) was normal sarcoidosis...

A 21-year-old man presented with fever and left-sided chest pain since 4 days. His medical family history were insignificant, no of rheumatological disease. On examination, he was tachypnoeic (with a respiratory rate 28/min), tachycardic pulse 120/min), febrile temperature 101°F) had stony dull note on percussing the left side chest, decreased vesicular breath sounds auscultation same side. X-ray revealed bilateral pleural effusion (figure 1) which aspirated found to be exudative in...

A 43-year-old man, a known case of diabetes mellitus and hypertension (both well controlled), with no history suggestive high-risk sexual behaviour, presented painless swelling over the left side neck since 30 days which was insidious in onset gradually progressive; fever 15 sudden onset, intermittent, relieved medications associated generalised bodyache; diarrhoea 3 foul smelling, watery, non-bloody, 7–8 episodes per day. He had lost 4 kg weight days. vegetarian, did not keep cats as pets...

A 60-year-old Indian woman, known case of hypertension with no other comorbidities, presented productive cough since 20 days and high-grade fever 5 days. She also had breathlessness 10 which was insidious in onset, initially exertional progressed such that it now present at rest. There history tuberculosis. Her appetite been significantly reduced prior to presentation. On examination, she tachypnoeic a respiratory rate 30/min, tachycardic pulse 140/min, febrile temperature 101°F. blood...

Abstract Post transplant lympho-proliferative disorders (PTLD) are a serious complications of solid organ transplantation. Solid recipients have an increased risk cancers related to immunosuppression and the Epstein-Barr virus (EBV)-in particular lymphomas majority PTLD B-cell origin. The occurrence in can varied clinical presentation histopathological features. Although lymphoproliferative were initially reported be rare complication transplantation, observations past decade shown that they...

A woman in her late 70s presented with an increased frequency of micturition, suprapubic pain and weight loss. She was found to be having advanced cancer the urinary bladder, coupled bilateral hydronephrosis.Whilst undergoing surgical intervention for latter, she incidentally hypercalcaemia. This paraneoplastic nature, possibly due elevated parathyroid hormone related peptide no evidence bone metastasis. The histology resected tumour revealed squamous sarcomatoid differentiation. Her...

A 54-year-old male presented to our center with a 3-month history of headache, giddiness, and blurring vision. Cerebrospinal fluid examination revealed him be having cryptococcal meningitis. He was worked up for probable causes immunosuppression including HIV other infections had an autoimmune profile as well bone marrow examination, none which any abnormality. Lymphocyte flow cytometry low counts CD4 T lymphocytes, likely secondary idiopathic lymphocytopenia. treated Due marked...

Searchable abstracts of presentations at key conferences in endocrinology ISSN 1470-3947 (print) | 1479-6848 (online)

Searchable abstracts of presentations at key conferences in endocrinology ISSN 1470-3947 (print) | 1479-6848 (online)

Searchable abstracts of presentations at key conferences in endocrinology ISSN 1470-3947 (print) | 1479-6848 (online)

Searchable abstracts of presentations at key conferences in endocrinology ISSN 1470-3947 (print) | 1479-6848 (online)