Publications by authors named "Vikram G Aarella"

2 Publications

  • Page 1 of 1

Rising HbA1c in the presence of optimal glycaemic control as assessed by self-monitoring - iron deficiency anaemia.

JRSM Open 2016 Feb 18;7(2):2054270415619321. Epub 2016 Jan 18.

Department of Diabetes and Endocrinology, Kings Mill Hospital, Sutton-in-Ashfield, Nottinghamshire, UK.

HbA1c can be affected by determinants other than glucose and an awareness of this is important to avoid unnecessary hypoglycaemia.
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http://dx.doi.org/10.1177/2054270415619321DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4740944PMC
February 2016

Acute Transient Stress Induced Adrenal Hypertrophy and Adrenal Medullary Hyperactivity.

Eur J Case Rep Intern Med 2016 17;3(1):000257. Epub 2015 Nov 17.

Sherwood Forest Hospitals Foundation NHS Trust, King's Mill Hospital, Sutton-in-Ashfield, UK.

Objectives: drenal gland hypertrophy can be related to acute stress with abnormal adrenal function tests. It may not always need treatment.

Material And Methods: An acute presentation of adrenal gland hypertrophy following an abdominal emergency, with subsequent hypoadrenalism was investigated.

Results: Adrenal medullary and cortical function fully recovered without treatment.

Conclusions: We postulate that the adrenal glands became enlarged and hypertrophied during an acute stress event, possibly caused by acute adrenal medullary hypersecretion and subsequent cortical hyposecretion. A wait and watch policy should be followed if no other clinical symptoms and signs of adrenal disease are present. CT scan remains an important diagnostic tool.

Learning Points: Abnormal adrenocortical function tests and hypertrophy can occur in an acutely ill patient as a stress response.It is possible to have both hypersecretion and hyposecretion of adrenal hormones.A wait and watch policy should be followed if no other clinical symptoms and signs of adrenal disease are present in an acutely ill patient.
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http://dx.doi.org/10.12890/2015_000257DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346828PMC
November 2015
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