Cheron G, Rousseau D, Chomette G, Fekete C, Guillot M, Lenoir G, Royer P
Pediatrie. 1985 Jan-Feb;40(1):35-9.
Neonatal primary hyperparathyroidism is rare but must be evoke during respiratory distress with thoracic deformity and hypercalcemia. The plasma immunoreactive parathyroid hormone level allows the diagnostic. This case, with diffuse hyperplasia of water-clear cells type, develops rickets of vitamin D deficiency before surgery. A large parathyroidectomy (7/8) was performed and the child is normo-calcemic 2 years after. The time of surgery is function of calcium level.
新生儿原发性甲状旁腺功能亢进症很少见,但在伴有胸廓畸形和高钙血症的呼吸窘迫期间必须予以考虑。血浆免疫反应性甲状旁腺激素水平有助于诊断。该病例为透明细胞型弥漫性增生,术前出现维生素D缺乏性佝偻病。实施了大范围甲状旁腺切除术(8个中的7个),术后2年患儿血钙正常。手术时机取决于血钙水平。