1.Persistent bilateral atypical femoral fractures in an antiresorptive-naïve Singaporean Chinese patient with Graves’ Disease
Kuan Swen Choo ; Lily Mae Dacay ; Le Roy Chong ; Linsey Utami Gani
Journal of the ASEAN Federation of Endocrine Societies 2023;38(2):135-140
Atypical femoral fractures (AFFs) are rare adverse effects of bisphosphonate therapy. We report an unusual case of bilateral diaphyseal AFFs in an antiresorptive-naïve Singaporean Chinese female with Graves’ disease. She presented with complete right AFF requiring surgical fixation, and persistent left incomplete AFF for over four years. Femoral bowing, varus femoral geometry, and ethnic influence likely contributed to the AFFs’ formation. This case may provide insights into the pathogenesis of AFFs in high-risk Asian populations.
Diphosphonates
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Hyperthyroidism
2.Improved adrenal vein sampling from a dedicated programme: experience of a low-volume single centre in Singapore.
Min-On TAN ; Troy Hai Kiat PUAR ; Saravana Kumar SWAMINATHAN ; Yu-Kwang Donovan TAY ; Tar Choon AW ; David Yurui LIM ; Haiyuan SHI ; Lily Mae Quevedo DACAY ; Meifen ZHANG ; Joan Joo Ching KHOO ; Keng Sin NG
Singapore medical journal 2022;63(2):111-116