Rojas Alexsandra P, Fain Kristen, Peiris Alan N
School of Medicine, Texas Tech University Health Sciences CenterLubbockTexas.
Clinical Research Institute and Department of Internal Medicine, Texas Tech University Health Sciences CenterLubbockTexas.
Proc (Bayl Univ Med Cent). 2019 Nov 1;33(1):40-41. doi: 10.1080/08998280.2019.1680060. eCollection 2020 Jan.
Vitamin D deficiency is common in patients with primary hyperparathyroidism. We present a case of primary hyperparathyroidism with a positive parathyroid scan and history of nephrolithiasis. The patient had normal albumin and renal function but was vitamin D deficient. After treatment with vitamin D for 13 months, her parathyroid hormone values declined in parallel with the elevation in vitamin D. Although her total calcium normalized, her ionized calcium remained elevated throughout treatment. We believe vitamin D deficiency should be carefully monitored in primary hyperparathyroidism.
维生素D缺乏在原发性甲状旁腺功能亢进患者中很常见。我们报告一例原发性甲状旁腺功能亢进患者，其甲状旁腺扫描呈阳性且有肾结石病史。该患者白蛋白和肾功能正常，但维生素D缺乏。用维生素D治疗13个月后，她的甲状旁腺激素值随着维生素D的升高而平行下降。尽管她的总钙水平恢复正常，但在整个治疗过程中她的离子钙仍保持升高。我们认为在原发性甲状旁腺功能亢进中应仔细监测维生素D缺乏情况。
