Agarwal R, Burns R R, Vergne-Marini P
Department of Internal Medicine, University of Texas, Southwestern Medical Center at Dallas.
Am J Kidney Dis. 1993 Nov;22(5):717-20. doi: 10.1016/s0272-6386(12)80436-7.
Secondary hyperparathyroidism is ubiquitous in patients with end-stage renal disease who are on dialysis. We report a dialysis patient with an unusual manifestation of hyperparathyroidism. Initially, the patient was misdiagnosed to have clavicular osteomyelitis. The underlying hyperparathyroidism was not recognized, only to be discovered later, when the patient presented with spastic paraplegia and massive ectopic calcification in the cervical spine. The patient made a complete recovery following surgical resection and parathyroidectomy.
继发性甲状旁腺功能亢进在接受透析的终末期肾病患者中普遍存在。我们报告了一名甲状旁腺功能亢进表现异常的透析患者。最初，该患者被误诊为锁骨骨髓炎。潜在的甲状旁腺功能亢进未被识别，直到后来患者出现痉挛性截瘫和颈椎大量异位钙化时才被发现。患者在接受手术切除和甲状旁腺切除术后完全康复。
