Webb Youdale S, Gatell Artigas J M, Soriano Marín E, Garcíca San Miquel J
Med Clin (Barc). 1980 Feb 10;74(3):107-8.
A 53-year-old woman presented a clinical picture of hypercalcemia as the first and most prominent manifestation of hyperthyroidism. The possibility of a coexistent hyperparathyroidism was excluded, as well as any other potential cause of hypercalcemia. The hypercalcemia and its clinical manifestations disappeared a month after the antithyroid therapy was started. After 2 years, the calcemia and renal and thyroid functions continue normal. The association of hyperthyroidism and hypercalcemia is well known, but only rarely is hypercalcemia responsible for prominent clinical symptoms. It is very infrequent for the manifestations of hypercalcemia to precede those of hyperthyroidism.
一名53岁女性出现高钙血症的临床表现,这是甲状腺功能亢进的首个也是最突出的表现。已排除并存甲状旁腺功能亢进的可能性以及高钙血症的任何其他潜在病因。开始抗甲状腺治疗一个月后,高钙血症及其临床表现消失。两年后,血钙水平、肾功能和甲状腺功能仍保持正常。甲状腺功能亢进与高钙血症的关联众所周知,但高钙血症导致明显临床症状的情况却极为罕见。高钙血症的表现先于甲状腺功能亢进的情况更是罕见。