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 43
- Downloads 0
A COMPARATIVE STUDY ON THE QUALITY OF LIFE OF AMONG WORKING WOMEN OF GOVERNMENT SECTOR AND PRIVATE SECTOR.
Introduction: Today\\\'s career women are continually challenged by the demands of full-time work and when the day is done at the office, they carry more of the responsibilities and commitments to home. Women are growing...
EXTREME WATER CONFINEMENT AMIDST SUPERHYDROPHILIC SU8 MICROPATTERNED WALLS
Control of motion of drops on solid surfaces and their mechanism is relevant in many nanotechnology processes and water vapour harvesting practices. Biomimetic strategies comprise designing topographic and chemical heter...
MALADIE DE BEHCET ASSOCIEE A L ARTERITE DE TAKAYASU(CAS EXCEPTIONNEL).
Introduction:Beh?et\'s disease and Takayasu arteritis are two chronic inflammatory diseases of unknown etiology and their coexistence is exceptional. Case report:We report in this work a case report of a 55-year-old fema...
ADJUSTING MOTION OF BRUSHLESS DC MOTOR THROUGH MICROCONTROLLER.
The Objective of this paper is to adjust motion of Brushless DC motor through microcontroller. Now a day?s every industry has become an automated industry. To make the automated industry, the machinery and equipment?s sh...
ROLE OF AYURVEDA IN THE MANAGEMENT OF GUILLAIN-BARRE SYNDROME - A CASE REPORT.
Guillain-Barre Syndrome (GBS) is an acute inflammatory demyelinating polyneuropathy (AIDP) caused generally by autoimmune response after certain infections. According to Ayurveda, it can be correlated withVatvyadhi-Sarva...