Hiperparatiroidismo primario con normocalcemia, una asociación de diagnóstico complejo: a propósito de un caso clínico / Normocalcemic hyperparathyroidism: report of one case
Rev. chil. endocrinol. diabetes
;
3(4): 251-256, oct. 2010. ilus, tab, graf
Article
Dans Espagnol
| LILACS
| ID: lil-610268
ABSTRACT
We report a 59 years old female with a history of nephrolithiasis and progressive worsening of her bone mineral density. High serum PTH levels were detected, with normal serum calcium. Causes of secondary hyperparathyroidism were discarded. The patient was followed during six years, period in which she maintained elevated serum PTH and normal serum calcium. During the second year of follow up, hydrochlorothiazide was indicated. Serum calcium raised progressively and after six years, it became abnormally high. The patient was subjected to a total left lobe and subtotal right lobe thyroidectomy. The surgeon found a 1.6 mm diameter left parathyroid nodule. After surgery the patient is asymptomatic and is receiving levothyroxine supplementation.
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Indice:
LILAS (Amériques)
Sujet Principal:
Tumeurs de la parathyroïde
/
Adénomes
/
Calcium
/
Hyperparathyroïdie primitive
Type d'étude:
Etude diagnostique
Limites du sujet:
Femelle
/
Humains
langue:
Espagnol
Texte intégral:
Rev. chil. endocrinol. diabetes
Thème du journal:
Endocrinologie
Année:
2010
Type:
Article
Pays d'affiliation:
Chili
Institution/Pays d'affiliation:
Pontificia Universidad Católica de Chile/CL
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