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Sclerochoroidal calcification in a patient with chronic hypercalcemia from undiagnosed parathyroid adenoma.
Choi, John Y; Bianciotto, Carlos; Shields, Jerry A; Shields, Carol L.
Afiliação
  • Choi JY; From *The National Retina Institute, Towson, Maryland; and †Ocular Oncology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania.
Retin Cases Brief Rep ; 3(4): 431-3, 2009.
Article em En | MEDLINE | ID: mdl-25389869
PURPOSE: To describe a case of sclerochoroidal calcification in a patient with hypercalcemia from undiagnosed parathyroid adenoma. METHODS: A 66-year-old white woman was found to have asymptomatic bilateral yellow choroidal tumors characteristic of sclerochoroidal calcification. The calcified tumors were echogenic on ultrasonography. RESULTS: Systemic evaluation disclosed hypercalcemia, and there was no abnormality of the parathyroid glands with hormone levels or nuclear medicine scans. After 4 years, the hypercalcemia persisted, prompting surgical exploration of the parathyroid glands that revealed an adenoma. After resection of the glands, the serum calcium reverted to normal. DISCUSSION: Sclerochoroidal calcification can be associated with systemic hypercalcemia. A search for the cause is warranted, and in this case, a subclinical adenoma was the source of the hypercalcemia.

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Retin Cases Brief Rep Ano de publicação: 2009 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Retin Cases Brief Rep Ano de publicação: 2009 Tipo de documento: Article País de publicação: Estados Unidos