From the bronze age to the iron age

Sheila Grecian, Safwaan Adam, Akheel Syed

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

A 53 year old man, without any previous medical history, presented acutely to the Accident and Emergency Department with a 5 day history of vomiting and abdominal pain on a background of weight loss, fatigue, polyuria and polydipsia for 4 weeks. On examination he was obviously tanned and thin. He was clinically dehydrated and had palpable hepatomegaly. Immediate biochemical testing revealed hyperglycaemia with a venous blood glucose of 20.7 mmol/l, a metabolic acidosis with a pH of 7.1 (and venous bicarbonate of 11.3 mmol/l) and significant ketonuria (++++) thus confirming the clinical suspicion of diabetic keto-acidosis (DKA). His serum ferritin levels were markedly raised at 11346 ug/l with a raised transferrin saturation of 92%. His initial basal pituitary function showed evidence of partial anterior hypopituitarism. This was manifest by hypogonadotrophic hypogonadism with an FSH of
Original languageEnglish
Title of host publicationEndocrine Abstracts
PublisherBioScientifica
PagesP241
Volume38
DOIs
Publication statusPublished - Nov 2015
EventSociety for Endocrinology BES 2015 - Edinburgh
Duration: 2 Nov 20154 Nov 2015

Conference

ConferenceSociety for Endocrinology BES 2015
CityEdinburgh
Period2/11/154/11/15

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