RESUMO
The case reported concerns a 13 year-old girl presenting with a palpable parathyroid adenoma. Impairment of general condition, weight loss and abdominal pain were the presenting symptoms. Surgical excision of the adenoma led to recovery. The main clinical and laboratory signs of tumoral hyperparathyroidism are reviewed, the misleading character of the presenting symptoms being emphasized.
Assuntos
Adenoma/diagnóstico , Neoplasias das Paratireoides/diagnóstico , Adenoma/cirurgia , Criança , Feminino , Humanos , Hiperparatireoidismo/diagnóstico , Hiperparatireoidismo/etiologia , Neoplasias das Paratireoides/cirurgiaRESUMO
A girl with chronic hereditary tyrosinemia is described in whom the diet caused an immediate resolution of tubular defect and rapid healing of the rickets. However cirrhosis was not prevented and at the age of 8 she developed a hepatoma. Complete surgical excision was possible and she remained well 15 months later. The value of blood alpha-fetoprotein levels and liver echotomography to monitor the course of the disease is emphasized. The apparent ineffectiveness of the low phenylalanine and tyrosine diet in preventing hepatic complications is discussed.