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
em Es
| LILACS
| ID: lil-610268
Biblioteca responsável:
CL1.1
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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Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Neoplasias das Paratireoides
/
Adenoma
/
Cálcio
/
Hiperparatireoidismo Primário
Tipo de estudo:
Diagnostic_studies
Limite:
Female
/
Humans
Idioma:
Es
Revista:
Rev. chil. endocrinol. diabetes
Assunto da revista:
ENDOCRINOLOGIA
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Chile
País de publicação:
Chile