Hypercalcemic Crisis – A Fatal Case of Primary Hyperparathyroidism
The Medical Journal of Malaysia
;
: 277-278, 2014.
Article
in English
| WPRIM
| ID: wpr-630504
ABSTRACT
We describe the clinical presentation, investigation and management of an eventually fatal case of hypercalcemic crisis due to primary hyperparathyridism (PHPT). A 60 year-old lady with history of urolithiasis presented with worsening generalized bone pain, spinal scoliosis and a limp. Laboratory data showed hypercalcemia and raised alkaline phosphatase. Left hip x-ray revealed a subcapital femoral neck fracture. Intact parathyroid hormone was elevated, 187.6 pmol/L (1.6 – 6.9) and ultrasound showed an enlarged right parathyroid gland. Despite initial reduction of serum calcium with saline infusion and multiple doses of intravenous pamidronate, her calcium increased to 4.14 mmol/L a week following application of Buck’s traction for persistent left hip pain. She succumbed eventually with serum calcium peaking at 6.28 mmol/L despite multiple therapeutic interventions.
Full text:
Available
Index:
WPRIM (Western Pacific)
Language:
English
Journal:
The Medical Journal of Malaysia
Year:
2014
Type:
Article
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