Hiperparatiroidismo primario con compromiso esquelético grave: Un caso de carcinoma paratiroideo

Lorena Ríos S ^[1] ; Jorge Sapunar Z ^[1] ; Iván Roa E ^[1]
1. [1] Universidad de La Frontera
  
  Universidad de La Frontera
  
  Temuco, Chile
Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 133, Nº. 1, 2005, págs. 77-81
Idioma: español
Títulos paralelos:
- Primary hyperparathyroidism with severe skeletal involvement in one patient with parathyroid carcinoma
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Resumen
- Parathyroid carcinoma is an uncommon cause of primary hyperparathyroidism; however, when this condition is severe, cancer must be suspected. We report on a 28-year-old male with severe hypercalcemia, cachexia, acute pancreatitis, urolithiasis, anemia and a severe skelletal involvement with multiple fractures. The patient had a 4-cm parathyroid tumor, that was surgically excised, along with the ipsilateral thyroid lobe. During the postoperative period, he had a severe and prolonged hungry bone syndrome, with a slow recovery of fractures, with functional and anatomical sequelae in the extremities. PTH levels were adequate for the serum calcium during the 16 months of follow-up (Rev Méd Chile 2005; 133; 77-81)