Mohammed Abdul Rafi, Rea Rustam, Ubhi Chas
Department of Endocrinology & Medicine, Derby Hospitals NHS Foundation Trust, Derby, UK.
BMJ Case Rep. 2010 Aug 3;2010:bcr0420102893. doi: 10.1136/bcr.04.2010.2893.
Primary hyperparathyroidism (PHPT) is a disorder resulting in hypercalcaemia due to autonomous over secretion of parathyroid hormone. Mediastinal parathyroid adenoma is a rare disorder which can present with a widened mediastinum on a plain film. Its always important to check calcium level in patients who present with a mediastinal mass to rule out PHPT. Recognition of this disorder is crucial to prevent long-term sequelae. The authors report an interesting case and discuss further about it, which would be of help both to a specialist and a general physician.
原发性甲状旁腺功能亢进症（PHPT）是一种由于甲状旁腺激素自主过度分泌导致高钙血症的疾病。纵隔甲状旁腺腺瘤是一种罕见的疾病，在X线平片上可表现为纵隔增宽。对于出现纵隔肿块的患者，检查血钙水平以排除PHPT始终很重要。认识这种疾病对于预防长期后遗症至关重要。作者报告了一个有趣的病例并对此进行了进一步讨论，这对专科医生和普通内科医生都会有所帮助。
