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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Paz-pacheco, Elizabeth Sandoval, Mark Anthony S. |
| Description | Author Affiliation: Sandoval MA ( Section of Endocrinology, Diabetes and Metabolism, Department of Medicine, Philippine General Hospital, University of the Philippines Manila, Philippines. markanthony_sandoval@yahoo.com) |
| Abstract | A 63-year-old woman has had multiple repeated fractures. A diagnosis of primary hyperparathyroidism (PHPT) was made after she was found to be hypercalcaemic with an elevated level of intact parathyroid hormone (iPTH). Radiographs revealed classic and severe bone findings in PHPT, features which were common in the past but are thought to be rare at this modern age. She also had nephrolithiasis and osteoporosis. An enlarged parathyroid gland was seen on ultrasound and CT scan, and hyperfunction was demonstrated by scintigraphy. Parathyroidectomy was performed. Histopathologic analysis revealed a parathyroid adenoma. She developed the hungry-bone syndrome 7 days postoperatively, which resolved with with administration of calcium and calcitriol. |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Volume Number | 2010 |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Adenoma Diagnosis Fractures, Spontaneous Hyperparathyroidism, Primary Surgery Osteoporosis Parathyroid Neoplasms Parathyroidectomy Alendronate Therapeutic Use Calcitriol Calcium Carbonate Follow-Up Studies Etiology Drug Therapy Parathyroid Hormone Metabolism Postoperative Care Radiography Recurrence Risk Assessment Severity Of Illness Index Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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