Abstract

Official Journal of the Endocrine Society of Sri Lanka. The Sri Lanka Journal of Diabetes Endocrinology and Metabolism (SJDEM) publishes original research articles, reviews, and other special features related to diabetes, endocrinology and metabolism in humans and human tissue.

Highlights

  • Due to the overcrowding in the hospital clinics patients spends much time waiting to get a clinic number to see the doctor and to collect medications from the pharmacy

  • The majority of the patients were not satisfied with the time they had to wait to get a clinic number and collect medications from the pharmacy (59 % and 78 % respectively) while 52% were satisfied with the time they spent at the doctor

  • Neck circumference could be used as a convenient measurement to identify diabetic patients who are at high risk of increased visceral fat levels

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Summary

Introduction

Due to the overcrowding in the hospital clinics patients spends much time waiting to get a clinic number to see the doctor and to collect medications from the pharmacy. Testicular adrenal rest tumours (TART) is an important complication of congenital adrenal hyperplasia (CAH), which probably develop from ectopic remnants of intra-testicular adrenal tissue stimulated by Adrenocorticotropic hormone (ACTH) hypersecretion These tumors can be mostly found in childhood and puberty and are usually, but not always, responses to suppressive medical therapy. CASE DESCRIPTION: This Sri Lankan female first presented at the age of 20 years (in 2006) to emergency department with mass effects of a suprasellar tumour. CASE DESCRIPTION: We report two genetically unrelated Sri Lankan patients who presented with concurrent thyrotoxicosis and Gitelman syndrome. Both of them presented with symptomatic hypokalaemia and detected to have thyrotoxicosis.

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