Kistler H J
Medizinische Abteilung, Spital Limmattal Schlieren.
Schweiz Med Wochenschr. 1996 Apr 27;126(17):718-22.
Five patients with nonfamilial idiopathic hypoparathyroidism were observed in a peripheral hospital. There was no association with other autoimmune disorders such as hypothyroidism, adrenal insufficiency or pernicious anemia. Only in one patient with tetany was the diagnosis clinically obvious; all the others presented with unusual clinical symptoms. These manifestations of chronic hypocalcemia are presented, as well as the diagnostic workup and therapeutic management. We suggest that idiopathic hypoparathyroidism is not a very rare disease, but one which is often missed because of the unusual clinical picture.
在一家基层医院观察了5例非家族性特发性甲状旁腺功能减退症患者。该疾病与其他自身免疫性疾病如甲状腺功能减退症、肾上腺功能不全或恶性贫血无关联。仅1例有手足搐搦的患者临床诊断明确；其他患者均表现出不寻常的临床症状。本文展示了慢性低钙血症的这些表现，以及诊断检查和治疗管理情况。我们认为特发性甲状旁腺功能减退症并非一种非常罕见的疾病，而是一种常因不寻常的临床表现而被漏诊的疾病。
