Abstract
A 24-year-old man with primary hyperparathyroidism and osteitis fibrosa cystica developed acute hypocalcaemia. Spontaneous healing of his bone disease was confirmed radiographically and by correction of the serum alkaline phosphatase. Hypercalcaemia associated with a raised serum parathyroid hormone recurred 90 weeks after the initial presentation. During the fourth neck exploration a parathyroid adenoma was removed, resulting in resolution of his condition. Haemorrhagic infarction of an adenoma was the most likely cause of the acute hypocalcaemic episode.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Brown E. M., Wilson R. E., Thatcher J. G., Marynick S. P. Abnormal calcium-regulated PTH release in normal parathyroid tissue from patients with adenoma. Am J Med. 1981 Oct;71(4):565–570. doi: 10.1016/0002-9343(81)90207-2. [DOI] [PubMed] [Google Scholar]
- HOWARD J. E., FOLLIS R. H., Jr, YENDT E. R., CONNOR T. B. Hyperparathyroidism; case report illustrating spontaneous remission due to necrosis of adenoma, and a study of the incidence of necroses in parathyroid adenomas. J Clin Endocrinol Metab. 1953 Aug;13(8):997–1008. doi: 10.1210/jcem-13-8-997. [DOI] [PubMed] [Google Scholar]
- Minisola S., Romagnoli E., Scarnecchia L., Pacitti M. T., Rosso R., Carnevale V., Minisola G., Mazzuoli G. Parathyroid storm: immediate recognition and pathophysiological considerations. Bone. 1993 Sep-Oct;14(5):703–706. doi: 10.1016/8756-3282(93)90199-k. [DOI] [PubMed] [Google Scholar]
- Peck W. W., Higgins C. B., Fisher M. R., Ling M., Okerlund M. D., Clark O. H. Hyperparathyroidism: comparison of MR imaging with radionuclide scanning. Radiology. 1987 May;163(2):415–420. doi: 10.1148/radiology.163.2.3562820. [DOI] [PubMed] [Google Scholar]