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タイトル: | 著明な高カルシウム血症クライシスを呈した原発性上皮小体機能亢進症の1例 |
その他のタイトル: | A case of primary hyperparathyroidism associated with marked hypercalcemic crisis |
著者: | 西村, 憲二 野澤, 昌弘 原, 恒男 園田, 孝夫 岡, 聖次 |
著者名の別形: | Nishimura, Kenji Nozawa, Masahiro Hara, Tsuneo Sonoda, Takao Oka, Toshitsugu |
キーワード: | Hypercalcemic crisis Primary hyperparathyroidism Follicular adenoma of the thyroid gland |
発行日: | Aug-1994 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 40 |
号: | 8 |
開始ページ: | 729 |
終了ページ: | 734 |
抄録: | A 41-year-old woman was referred to our hospital with complaints of general fatigue, appetite loss, nausea and vomiting. Blood examination revealed high serum calcium level (21.6 mg/dl) and high serum parathyroid hormone level. Although enlarged parathyroid glands could not be clearly detected via ultrasonography, computed tomography and scintigraphy, we diagnosed her with hypercalcemic crisis due to primary hyperparathyroidism and performed parathyroidectomy after conservative therapy. A parathyroid tumor measuring 1.9 x 1.1 x 1.0 cm, and weighing 1, 100 mg was found at the upper right pole of the thyroid gland, and three thyroid tumors were found in the bilateral lobes of the thyroid gland. Histological diagnosis was adenoma of the parathyroid gland and follicular adenomas of the thyroid gland. Following removal of the parathyroid tumor, the serum calcium level rapidly dropped and the symptoms rapidly improved. Hypercalcemic crisis has a high mortality, and the only treatment is surgical removal. Therefore, in patients with hypercalcemic crisis due to primary hyperparathyroidism, surgical removal should be done immediately, unless the serum calcium level has dropped and symptoms of crisis have disappeared after conservative treatment. |
URI: | http://hdl.handle.net/2433/115323 |
PubMed ID: | 7942374 |
出現コレクション: | Vol.40 No.8 |
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