原发性甲状旁腺功能亢进症。病例报告及处理

Primary hyperparathyroidism. Case report and management.

作者信息

Arisaka O, Arisaka M, Toyono K, Shimizu T, Yabuta K, Hayashi H, Sugiyama Y, Tanaka T, Kitagawa R

出版信息

Clin Pediatr (Phila). 1985 Jun;24(6):347-50. doi: 10.1177/000992288502400610.

Abstract

A 13-year-old girl presenting with abdominal pain, polyuria, polydipsia, and radiologically confirmed renal calculi was diagnosed as having primary hyperparathyroidism. Laboratory data revealed markedly elevated serum calcium, low phosphorus, and elevated parathyroid hormone. Other parathyroid function tests also confirmed the diagnosis of primary hyperparathyroidism. Ultrasound examination showed a small echogenic nodule in the parathyroid gland. Following a single gland resection, the extremely high serum calcium level promptly decreased to normal range, and it has remained normal.

摘要

一名13岁女孩出现腹痛、多尿、多饮症状，经影像学检查确诊为肾结石，随后被诊断为原发性甲状旁腺功能亢进。实验室检查数据显示血清钙显著升高、磷降低以及甲状旁腺激素升高。其他甲状旁腺功能检查也证实了原发性甲状旁腺功能亢进的诊断。超声检查显示甲状旁腺有一个小的高回声结节。在进行单腺切除术后，极高的血清钙水平迅速降至正常范围，且一直保持正常。