Zhu Xiaodong, Zhai Hui, Tang Shao Fang, Cheng Yan
Department of Neurology, Tianjin Medical University General Hospital, Heping District, Tianjin 300052, China.
Neurol India. 2009 May-Jun;57(3):340-3. doi: 10.4103/0028-3886.53280.
Primary hyperparathyroidism (PHPT) is not an uncommon endocrine disorder. We describe a patient with PHPT who presented with progressive proximal limbs weakness and dystrophic changes of leg muscles. Serum calcium, alkaline phosphatase, and parathyroid hormone were elevated and serum phosphorus was low. Neck computerized tomography scan showed a parenchymatous tumor in the right lobe of the thyroid. The tumor presented as a 'cold nodule' in the dual-phase single-agent Tc-99m MIBI scan. The right lobectomy examination confirmed the diagnosis of an intrathyroidal parathyroid adenoma of the right gland.
原发性甲状旁腺功能亢进症（PHPT）是一种并不罕见的内分泌疾病。我们描述了一名患有PHPT的患者，该患者出现进行性近端肢体无力以及腿部肌肉的营养不良性改变。血清钙、碱性磷酸酶和甲状旁腺激素升高，血清磷降低。颈部计算机断层扫描显示甲状腺右叶有一个实质性肿瘤。在双期单剂锝-99m甲氧基异丁基异腈（Tc-99m MIBI）扫描中，该肿瘤表现为“冷结节”。右叶切除术检查证实诊断为右侧腺体的甲状腺内甲状旁腺腺瘤。
