一个错失的机会：八年来早期肾结石作为原发性甲状旁腺功能亢进症的漏诊指标
A Lost Opportunity: Early Nephrolithiasis as a Missed Indicator of Primary Hyperparathyroidism Over Eight Years.
作者信息
Boahene Prince Yaw, Gyabaah Solomon, Kyei-Fram Seth, Domeh Paulinus, Bonsu Afia Serwaa, Nkum Bernard C
机构信息
Directorate of Medicine Komfo Anokye Teaching Hospital Kumasi Ghana.
Department of Medicine School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology Kumasi Ghana.
出版信息
Clin Case Rep. 2025 Jun 30;13(7):e70585. doi: 10.1002/ccr3.70585. eCollection 2025 Jul.
Primary hyperparathyroidism may present with a diagnostic challenge due to its nonspecific initial symptoms, often delaying diagnosis. Nephrolithiasis, a common presentation, is often treated in isolation without consideration of an underlying hyperparathyroidism. It is important for clinicians to consider primary hyperparathyroidism in patients presenting with calcium oxalate kidney stones.
原发性甲状旁腺功能亢进症因其初始症状不具特异性，常常延误诊断，可能带来诊断挑战。肾结石是常见的表现形式，通常在未考虑潜在甲状旁腺功能亢进症的情况下单独进行治疗。对于出现草酸钙肾结石的患者，临床医生考虑原发性甲状旁腺功能亢进症很重要。
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