Hui Chin Wong
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View article: T3 THYROTOXICOSIS AS A PARANEOPLASTIC MANIFESTATION OF METASTATIC EXTRAGONADAL NONSEMINOMATOUS GERM CELL TUMOUR
T3 THYROTOXICOSIS AS A PARANEOPLASTIC MANIFESTATION OF METASTATIC EXTRAGONADAL NONSEMINOMATOUS GERM CELL TUMOUR Open
INTRODUCTION/BACKGROUND Nonseminomatous germ cell tumours (NSGCTs) are rare malignancies that arise from gonadal or extragonadal sites and comprise various histological subtypes. In 90% of cases, β-human chorionic gonadotropin (β-hCG) is e…
View article: WHEN THE CURE BITES BACK
WHEN THE CURE BITES BACK Open
INTRODUCTION/BACKGROUNDMusculoskeletal complaints, including myositis, are common in thyroid disorders. However, it is a rare and non-classical side effect of antithyroid drugs. CASEA 35-year-old male with Graves' disease was admitted for …
View article: THE VOICE WITHIN
THE VOICE WITHIN Open
INTRODUCTION/BACKGROUNDAcromegaly is a chronic disorder caused by excess growth hormone (GH) and insulin-like growth factor 1 (IGF-1), most often due to a GH-secreting pituitary adenoma. Adult-onset laryngomalacia is rarely reported. CASEA…
View article: FASTING, FEASTING, AND FALLING GLUCOSE
FASTING, FEASTING, AND FALLING GLUCOSE Open
INTRODUCTION/BACKGROUNDNon-insulinoma pancreatogenous hypoglycemia syndrome (NIPHS) is a rare cause of endogenous hyperinsulinemic hypoglycemia, distinct from insulinoma, often linked to β-cell dysfunction after bariatric surgery in adults…
View article: INTERPRETING THYROID HORMONE LEVELS IN A PATIENT WITH GRAVES’ DISEASE ON ENOXAPARIN
INTERPRETING THYROID HORMONE LEVELS IN A PATIENT WITH GRAVES’ DISEASE ON ENOXAPARIN Open
INTRODUCTION/BACKGROUNDEnoxaparin, a low molecular-weight heparin, can interfere with free T4 measurements by displacing thyroid hormones from their binding proteins, potentially giving rise to misleading results. Diagnosis becomes particu…
View article: UNRAVELLING AN UNRECOGNIZED CAUSE OF DIABETES DISTRESS AMONGST DIABETES PATIENTS DURING WORLD DIABETES DAY 2024 SCREENING INITIATIVE
UNRAVELLING AN UNRECOGNIZED CAUSE OF DIABETES DISTRESS AMONGST DIABETES PATIENTS DURING WORLD DIABETES DAY 2024 SCREENING INITIATIVE Open
INTRODUCTIONIn observance of World Diabetes Day 2024, with the theme Diabetes and Well-being: Physical, Mental, and Societal Health, a screening was conducted to assess diabetes distress among patients at the diabetes clinic of Hospital Te…
View article: DIABETIC MASTOPATHY IN A PATIENT WITH TYPE 1 DIABETES MELLITUS
DIABETIC MASTOPATHY IN A PATIENT WITH TYPE 1 DIABETES MELLITUS Open
INTRODUCTION/BACKGROUNDDiabetic mastopathy is a rare fibroinflammatory condition that predominantly affects long-standing type 1 diabetes mellitus. It commonly presents as firm and painless breast masses, mimicking malignancy. The diagnosi…
View article: Insulin Autoimmune Syndrome – An After-Meal Roller Coaster Ride
Insulin Autoimmune Syndrome – An After-Meal Roller Coaster Ride Open
Hypoglycemic disorders are rare in persons without diabetes, and clinical evaluation to identify its etiology can be challenging. We present a case of insulin autoimmune syndrome induced by carbimazole in a middle-aged Chinese man with und…
View article: INSULIN ANTIBODY MEASUREMENTS
INSULIN ANTIBODY MEASUREMENTS Open
INTRODUCTIONThe Endocrine Society Clinical Practice Guideline recommends measurement of insulin autoantibodies (IAA) upon confirmation of endogenous hyperinsulinism. The differential diagnosis of endogenous hyperinsulinism include insulino…
View article: COVID-19 MOVEMENT CONTROL ORDER RELATED OSTEOPOROTIC FRACTURE AND VITAMIN D DEFICIENCY IN AN ADOLESCENT MALE
COVID-19 MOVEMENT CONTROL ORDER RELATED OSTEOPOROTIC FRACTURE AND VITAMIN D DEFICIENCY IN AN ADOLESCENT MALE Open
INTRODUCTION/BACKGROUNDCOVID-19 pandemic had caused major impacts on various aspects of our life. In Malaysia, Movement Control Order was imposed in March 2020. For almost 2 years, schoolgoing children and adolescents were not able to atte…
View article: Ramadan fasting in people with diabetes and chronic kidney disease (CKD) during the COVID-19 pandemic: The DaR global survey
Ramadan fasting in people with diabetes and chronic kidney disease (CKD) during the COVID-19 pandemic: The DaR global survey Open
View article: Collaborative intervention between pharmacists and physicians on elderly patients: a randomized controlled trial
Collaborative intervention between pharmacists and physicians on elderly patients: a randomized controlled trial Open
NMRR-12-958-13020.