Unusual presentation of primary hyperparathyroidism with osteoporosis, hypercalcemia, and normal parathyroid hormone level

We report the case of a woman with osteoporosis, chronic hypercalcemia, and normal levels of parathyroid hormone (PTH). Surgical exploration revealed hyperplasia of the parathyroid glands. Hypercalcemia was corrected immediately by surgery, and this was followed by a dramatic improvement in bone min...

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Veröffentlicht in:	Southern medical journal (Birmingham, Ala.) Ala.), 2001-03, Vol.94 (3), p.339-341
Hauptverfasser:	PEREZ, Jesus B, PAZIANOS, Artemis G
Format:	Artikel
Sprache:	eng
Schlagworte:	Biological and medical sciences Endocrinopathies Female Humans Hypercalcemia - etiology Hypercalcemia - surgery Hyperparathyroidism - complications Hyperparathyroidism - diagnosis Hyperparathyroidism - surgery Medical sciences Middle Aged Non tumoral diseases. Target tissue resistance. Benign neoplasms Osteoporosis - etiology Parathyroid Hormone - blood Parathyroids. Parafollicular cells. Cholecalciferol. Phosphocalcic homeostasis (diseases)
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Zusammenfassung:	We report the case of a woman with osteoporosis, chronic hypercalcemia, and normal levels of parathyroid hormone (PTH). Surgical exploration revealed hyperplasia of the parathyroid glands. Hypercalcemia was corrected immediately by surgery, and this was followed by a dramatic improvement in bone mineral density. This case represents a rarely reported presentation of primary hyperparathyroidism with an atypical laboratory finding.
ISSN:	0038-4348 1541-8243
DOI:	10.1097/00007611-200103000-00013