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[原发性甲状旁腺功能亢进作为慢性肾衰竭的一个病因]

[Primary hyperparathyroidism as a cause of chronic renal failure].

作者信息

Grube Maria, Bech Jesper N, Pedersen Erling B

机构信息

Medicinsk Afdeling, Regionshospitalet Holstebro, Lægårdsvej 12, 7500 Holstebro, Denmark.

出版信息

Ugeskr Laeger. 2012 Feb 20;174(8):502-3.

Abstract

Nephrocalcinosis is a rare cause of chronic renal failure. We describe a 64 year-old man, who was admitted to hospital due to chronic renal failure. An ultrasound examination and a computed tomography of the kidneys showed bilateral, severe nephrocalcinosis. He had hypercalcaemia, hyperparathyroidism, and a bone disease caused by an adenoma in one of the parathyroid glands. After removal of the adenoma, the plasma calcium level was in control, but renal function deteriorated. The patient was treated with dialysis and renal transplantation.

摘要

肾钙质沉着症是慢性肾衰竭的罕见病因。我们描述了一名64岁男性,因慢性肾衰竭入院。肾脏超声检查和计算机断层扫描显示双侧严重肾钙质沉着症。他有高钙血症、甲状旁腺功能亢进以及由一个甲状旁腺腺瘤引起的骨病。切除腺瘤后,血浆钙水平得到控制,但肾功能恶化。该患者接受了透析和肾移植治疗。

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