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 75
- Downloads 0
PROGNOSTIC VALUE OF THE EXPRESSION OF ENDOGENOUS HYPOXIA ASSOCIATED PROTEINS HYPOXIA INDUCIBLE FACTOR-1 ALPHA (HIF-1) AND CARBONIC ANHYDRASE ISOFORM 9 (CAIX) EXPRESSIONS IN BREAST CARCINOMA.
Background: hypoxia has been found to be related to malignant initiation, progression, increasing the occurrence of metastasis and therapy resistance in many cancer types, which made a real need for discovering drugs tha...
MIR-378 TARGET GENE TGFB2 IN THE STAGE II COLON CANCER TISSUE.
Colorectal cancer (CRC) is the third leading cause of cancer-related deaths worldwide. The sensitivity of markers used in the early and painless diagnosis of various cancers, including CRC, remains low. Recent studies ha...
ASSESSING THE PRACTICES AND CHALLENGES OF COMMUNITY BASED HEALTH INSURANCE IN ETHIOPIA: THE CASE OF OROMIA NATIONAL REGIONAL STATE DISTRICT OF GIMBICHU.
The study assessed the community based health insurance practice & challenges in Oromiya national regional state, Gimbichuworeda. In order to achieve these goals primary data have been collected from members of Community...
CORRELATION BETWEEN THE EDIBLE FRESHWATER BIVALVES AND SOME ECOLOGICAL FACTORS AT SELECTED SITES OF CAGAYAN RIVER.
The edible freshwater bivalves identified in Cagayan River were: Batissa childreni, Corbicula manilensis and Psammotaea virescens. Corbicula manilensis was the most abundant species collected. High density and bigger siz...
MORPHOMETRIC STUDY OF DISTAL END OF FEMUR IN INDIAN POPULATION.
Introduction: Knee joint is one of the most important joint needed for locomotion but unfortunately it?s commonly affected by degenerative diseases, which ultimately lead to joint replacement surgery. Anthropometric meas...