Yamaji Y, Hayashi M, Suzuki Y, Noya K, Yamamoto O
Department of Internal Medicine, Social Insurance Saitama Chuo Hospital, Urawa, Japan.
Jpn J Med. 1991 Mar-Apr;30(2):179-81. doi: 10.2169/internalmedicine1962.30.179.
A 30-year-old woman with thyroid crisis and impaired renal function presented with severe hypocalcemia. She had already had hypocalcemia one yr previously when her serum creatinine level was normal. A normal level of serum amino terminal fragment of parathyroid hormone in spite of severe hypocalcemia suggested impairment of parathyroid function. Since her serum magnesium was normal and she had no history of neck surgery or radioiodine therapy, her hypoparathyroidism was considered to be idiopathic. This is the seventh case with co-existing Graves' disease and idiopathic hypoparathyroidism reported in the literature.
一名患有甲状腺危象且肾功能受损的30岁女性出现严重低钙血症。她在1年前血清肌酐水平正常时就已出现过低钙血症。尽管存在严重低钙血症，但甲状旁腺激素氨基末端片段的血清水平正常，提示甲状旁腺功能受损。由于她的血清镁水平正常，且没有颈部手术或放射性碘治疗史，她的甲状旁腺功能减退被认为是特发性的。这是文献中报道的第七例同时存在格雷夫斯病和特发性甲状旁腺功能减退的病例。
