原发性甲状旁腺功能亢进所致高钙血症继发复发性胰腺炎引起的糖尿病。

Diabetes due to recurrent pancreatitis secondary to hypercalcemia due to primary hyperparathyroidism.

作者信息

Chakrabarti Sumit Kumar, Biswas Dibakar, Chaudhury Sandeep, Jain Rajesh, Kataria Manoj, Ghosh Sujoy

机构信息

Department of Endocrinology and Metabolism, Institute of Post Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital, Kolkata, West Bengal, India.

出版信息

Indian J Endocrinol Metab. 2013 Oct;17(Suppl 1):S212-4. doi: 10.4103/2230-8210.119575.

DOI:10.4103/2230-8210.119575

PMID:24251162

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3830308/

Abstract

Acute pancreatitis due to hypercalcemia associated with hyperparathyroidism (HPT) is not very common. We herein report a case of a 21-year-old woman, who presented with acute pancreatitis. She had a past history of recurrent nephrolithiasis. Subsequent evaluation revealed hypercalcemia (serum calcium: 12.6 mg/dL); low phosphate (2.9 mg/dL) with elevated parathyroid hormone (PTH, 156.7 pg/mL) and HbA1c (6.9%). Diagnosis of primary HPT (PHPT) was made. Recurrent pancreatitis due to hypercalcemia may have resulted in diabetes mellitus.

摘要

甲状旁腺功能亢进症（HPT）相关高钙血症所致的急性胰腺炎并不常见。我们在此报告一例21岁女性，她因急性胰腺炎就诊。她有复发性肾结石病史。后续检查发现高钙血症（血清钙：12.6mg/dL）；低磷血症（2.9mg/dL），同时甲状旁腺激素（PTH，156.7pg/mL）和糖化血红蛋白（HbA1c，6.9%）升高。诊断为原发性甲状旁腺功能亢进症（PHPT）。高钙血症导致的复发性胰腺炎可能引发了糖尿病。