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フルテキストURLA020051000103.pdf ( 145.0KB ) 公開日 2010-04-19
タイトルA Case of Primary Hyperparathyroidism Found by Parathyroid Crisis
作成者Sakuragi, Shizu
Taguchi, Akihiko
Miyazaki, Mutsuko
Mitani, Noriyuki
Matsuda, Kazuyuki
Fukuda, Naofumi
Inoue, Yasushi
作成者ヨミサクラギ, シズ
タグチ, アキヒコ
ミヤザキ, ムツコ
ミタニ, ノリユキ
マツダ, カズユキ
フクダ, ナオフミ
イノウエ, ヤスシ
作成者所属山口大学医学部
内容記述(抄録等)A 75-year-old women, who had been well until 2 weeks ago, consulted a phychiatrist because of stupor and appetite loss. A high serum calcium level (16.4mg/dl) was found and she was referred to our department. Calcium level rapidly increased to 25.2 mg/dl within a week regardless of a large amount of saline infusion with simultaneous administation of diuretics, calcitonin and prednisolone. Serum calsium level decreased gradually after six times of hemodialyses and infusion of bisphosphonate, pamidronate disodium. The level of intact PTH turned out to be extremely high (520pg/ml) and PTH-related protain was in the normal range. Parathyroid crisis due to primary hyparathyroidism was diagnosed. Procedures aim to localize the affected parathyroid glands including ultrasonography, computed tomography, magnetic resonance imaging and subtraction scintigraphy failed. Technetium 99m sestamibi scan after sedation with diazepan showed an abnormal image just below the right lobe of the thyroid. During the neck operation, an adenoma (3 x 1 cm) was detected and resected completely. No other affected glands were found. The levels of serum calcium due to persistent hypercalcemia remained six months later after the operation.
本文言語eng
著者キーワードhyperparathyroidism
parathyroid crisis
intact-PTH
hypercalcemia
主題医学
資料タイプtext
ファイル形式application/pdf
出版者Yamaguchi University Graduate School of Medicine
NII資料タイプ紀要論文
ISSN0513-1812
NCIDAA00594272
学内刊行物(紀要等)The bulletin of the Yamaguchi Medical School
掲載誌名The bulletin of the Yamaguchi Medical School
掲載誌名別表記山口医科大学紀要
51
1-2
開始ページ17
終了ページ21
発行日2004-06
著者版/出版社版出版社版
リポジトリIDA020051000103
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/A020051000103