Crisis and hypercalcemic primary hyperparathyroidism

We present a 45 year old female with long standing primary hiperparathyroidism due to parathyroid adenoma. Initially she had nephrolithiasis and obstinate constipation, and then neuromuscular features and bone illness consisting of osteitis fibrosa cystica, osteoporosis and pathological fracture. Sh...

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Detalles Bibliográficos
Autores: Loja Oropeza, David, Manrique, Helard, Solís, José, Calderón, Jorge, Flores, Neil
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2001
País:Perú
Institución:Universidad Nacional Mayor de San Marcos
Repositorio:Revistas - Universidad Nacional Mayor de San Marcos
Idioma:español
OAI Identifier:oai:revistasinvestigacion.unmsm.edu.pe:article/4207
Acceso en línea:https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/4207
Access Level:acceso abierto
Palabra clave:Hyperparathyroidism
Hypercalcemia
Pancreatits
Parathyroidectomy
Hiperparatiroidismo
Hipercalcemia
Pancreatitis
Paratiroidectomía
Descripción
Sumario:We present a 45 year old female with long standing primary hiperparathyroidism due to parathyroid adenoma. Initially she had nephrolithiasis and obstinate constipation, and then neuromuscular features and bone illness consisting of osteitis fibrosa cystica, osteoporosis and pathological fracture. She was admitted for acute pancreatitis associated to hypercalcemic crisis that remitted. After parathyroidectomy the patient developed the "hungry bone syndrome" from which she recovered. On follow-up she presented no symptoms. We discuss the clinical course, diagnosis and therapheutics.