Demirel N, Aydin M, Zenciroglu A, Okumus N, Cetinkaya S, Yildiz Y T, Ipek M S
Department of Neonatology, Dr Sami Ulus Maternity and Children's Hospital, Ankara, Turkey.
Ann Trop Paediatr. 2009 Jun;29(2):149-54. doi: 10.1179/146532809X440770.
A 4-day-old neonate presented with respiratory distress owing to chest wall deformity associated with metabolic bone disease. He was found to have congenital hyperparathyroidism and his mother was suffering from post-surgical hypoparathyroidism and vitamin D deficiency. The patient was given calcium lactate and maintenance doses of vitamin D. The respiratory distress subsided, the parathyroid hormone level returned to normal and by 4 weeks of age bone mineral content had improved. Congenital hyperparathyroidism should be considered in neonates presenting with respiratory distress and chest deformity.
一名4日龄新生儿因与代谢性骨病相关的胸壁畸形出现呼吸窘迫。他被诊断为先天性甲状旁腺功能亢进，其母亲患有手术后甲状旁腺功能减退和维生素D缺乏症。该患者接受了乳酸钙和维持剂量的维生素D治疗。呼吸窘迫症状缓解，甲状旁腺激素水平恢复正常，到4周龄时骨矿物质含量有所改善。对于出现呼吸窘迫和胸部畸形的新生儿，应考虑先天性甲状旁腺功能亢进。
