Kobune M, Neda H, Mogi Y, Hirayama Y, Sakamaki S, Watanabe N, Kohgo Y, Niitsu Y
Fourth Department of Internal Medicine, Sapporo Medical College, Japan.
Intern Med. 1993 Jan;32(1):57-9. doi: 10.2169/internalmedicine.32.57.
A 39-year-old man was admitted to our hospital complaining of general malaise, polyuria, disturbance of ocular movement and right cervical tumor. Blood examination revealed increased parathyroid hormone, hypercalcemia and hypophosphatemia, suggestive of hyperparathyroidism. Histology of the resected tumor revealed a benign parathyroid adenoma. Ectopic calcifications in the choroid and sclera were noted by computed tomography and further ophthalmological examination. Although ocular calcification in conjunctiva and cornea associated with hyperthyroidism is not unusual, sclerochoroidal calcification has not been reported previously in Japan. The possible cause of this unusual condition in this patient is discussed.
一名39岁男性因全身不适、多尿、眼球运动障碍和右侧颈部肿瘤入院。血液检查显示甲状旁腺激素升高、高钙血症和低磷血症,提示甲状旁腺功能亢进。切除肿瘤的组织学检查显示为良性甲状旁腺腺瘤。计算机断层扫描和进一步的眼科检查发现脉络膜和巩膜有异位钙化。虽然与甲状腺功能亢进相关的结膜和角膜眼部钙化并不罕见,但日本此前尚未报道过巩膜脉络膜钙化。本文讨论了该患者出现这种罕见情况的可能原因。