Hedman I, Tisell L E
Acta Chir Scand. 1985;151(5):487-9.
Hypercalcemia of thyrotoxicosis is sometimes severe and may mask other symptoms of the disease. A case is presented in which hyperparathyroid crisis was initially suspected. Thyrotoxicosis was confirmed on emergency indication by 131I-uptake test and later by hormone assays. Forced diuresis and prednisolone therapy failed to lower the serum calcium level, but a dramatic effect was obtained with calcitonin. After 10 days the patient was normocalcemic on treatment with only antithyroid drugs. At thyroid resection, five months later, four normal parathyroid glands were found.
甲状腺毒症性高钙血症有时很严重，可能会掩盖该疾病的其他症状。本文报告一例最初怀疑为甲状旁腺危象的病例。通过131I摄取试验及后续激素测定，在紧急情况下确诊为甲状腺毒症。强制利尿和泼尼松龙治疗未能降低血清钙水平，但降钙素治疗取得了显著效果。10天后，仅使用抗甲状腺药物治疗，患者血钙恢复正常。五个月后行甲状腺切除术时，发现四个甲状旁腺正常。
