HYPERPARATHYRO?DIE PRIMAIRE R?V?L?E PAR COLIQUE N?PHR?TIQUE.
Journal Title: International Journal of Advanced Research (IJAR) - Year 2018, Vol 6, Issue 4
Abstract
Introduction: The most common clinical presentation of primary hyperparathyroidism is asymptomatic hypercalcemia detected during routine biological evaluation. Atypical forms include normocalcemic primary hyperparathyroidism and parathyroid crisis, but classical manifestations are still common. Observation: A 65-year-old hypertensive man stabilized with monotherapy consulted for left renal colic. Biological assessment noted anemia, minimal renal failure, significant hypercalcemia and hypophosphatemia. Radiological assessment, in particular abdominal CT scan, revealed left renal calculi with dilated upper calyceal cavities, as well as two brown tumors of the pelvis. The diagnosis of bone metastases was first suggested, but serum parathyroid hormone testing showed very high levels of parathyroid hormone making the diagnosis of hyperparathyroidism. The cervical scanner revealed a large parathyroid adenoma. The patient benefited from extracorporeal lithotripsy, which eliminated kidney stones, the nature of which was calcium oxalate. Then, a parathyroidectomy was performed and the parathyroid hormone postoperatively normalized. The patient continued to present sometimes, cramps and tingling in the extremities, treated with calcium carbonate and calcitriol. Bone lesions spontaneously regressed dramatically, renal function remained close to normal, and anemia corrected without iron administration. Conclusion: This observation illustrates that even with an advanced degree of progression, hyperparathyroidism can remain asymptomatic despite the intensity of the impact on affected organs.
Authors and Affiliations
Hassani Mohamed, Ouleghzal Hassan.
Keywords
Related Articles
- EP ID EP290546
- DOI 10.21474/IJAR01/6964
- Views 73
- Downloads 0
LE SYSTEME DE MANAGEMENT INTEGRE QUALITE SECURITE ENVIRONNEMENT APPLIQUE A UNE PME.
Designing a management system that integrates the three areas of quality, safety and the environment (QSE) is a fundamental challenge for any company concerned with meeting the expectations of all its stakeholders: custo...
?A STUDY TO ASSESS THE EFFECT OF SELF INSTRUCTIONAL MODULE ON THE KNOWLEDGE AND PRACTICES OF THE CARETAKERS RELATED TO ADHERENCE OF DIRECTLY OBSERVED TREATMENT SHORT COURSE AMONG THE CHILDREN SUFFERING FROM TUBERCULOSIS.?
Introduction: ?Miles to go before I sleep?, we still have miles to go before we will make this planet TB free. WHO with its ?STOP TB? The famous English poet Robert Frost Tuberculosis remains a worldwide public health pr...
COUVELAIRE UTERUS WITH PLACENTAL ABRUPTION: A STRIKING PICTURE BUT A NORMAL FUNCTION.
International Journal of Advanced Research (IJAR)
EEFECT OF ORGANIC MATERIALS AND ZA (ZWAVELZURE AMMONIAK) FERTILIZER TO GROWTH AND YIELD OF SHALLOT IN ULTISOL SOIL IN WEST SUMATERA, INDONESIA.
The research aimed to study the interaction of several organic materials and ZA fertilizer. The research was conducted in August to November 2018 in experimentc al garden of Faculty of Agriculture, Andalas University. Fa...
ANALYSE DES MESURES ET TESTS SCIENTIFIQUES DE LA CREATIVITE DANS LE MILIEU EDUCATIF
Measuring correctly the creativity and its practical applications can on one hand, support and guide its development, and on the other hand, can contribute to the identification of the creative children and the unexploit...