АTYPICAL VARIANT OF PRIMARY HYPERPARATHYROIDISM: A CLINICAL CASE
DOI:
https://doi.org/10.21856/j-PEP.2023.2.11Keywords:
primary hyperparathyroidism, ionized calcium, parathyroid hormone, parathyroid gland, adenomaAbstract
The article describes a clinical case of a diagnosed and cured atypical according to laboratory parameters case of primary hyperparathyroidism in a patient born in 1981. In the anamnesis, the patient was treated by many doctors of various specialties, but only the seventh urologist suspected the presence of a tumor of the parathyroid gland. An operative intervention was performed, which led to a significant improvement in well-being and normalization of calcium-phosphorus metabolism indicators. A feature of the case is the normal level of ionized calcium before and after surgery. Therefore, in the presence of a clinical picture of hyperparathyroidism and/or its complications, mandatory serial determination of the level of parathyroid hormone, total and ionized calcium in the blood is advisable.
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