A SEVERE HYPERCALCEMIA CASE SECONDARY TO PARATHYROID ADENOMA: A CASE REPORT

Mustafa Dogan

Abstract


Hypercalcemia is an important health issue with a prevalence of 0.1% and make about 6 of every 1000 acute medical admissions to emergency departments. In present case report, we aimed to discuss a patient with severe hypercalcemia which was secondary to parathyroid adenoma. A 77 year old man presented to outpatient clinics of our institution with complaints of dyspnea, fatigue, tiredness, weakness on all four extremities for 15 days, which worsened by time. His serum calcium was 18 mg/dl. After treatment with intravenous saline, furosemide, zoledronic acid and calcitonin, serum calcium reduced to 8,5mg/dl. An adenoma detected on left lower parathyroid gland in scintigraphy. Physicians should be aware of that primary hyperparathyroidism may manifest with severe hypercalcemia. Aggressive treatment to reduce serum calcium levels is needed until parathyroid surgery is scheduled.

Keywords: Hypercalcemia, parathyroid adenoma, primary hyperparathyroidism


Full Text:

PDF

References


Dent DM, Miller JL, Klaff L, Barron J. The incidence and causes of hypercalcaemia. Postgraduate medical journal. 1987;63(743):745-50.

Turner JJO. Hypercalcaemia - presentation and management. Clinical medicine (London, England). 2017;17(3):270-3.

Walsh J, Gittoes N, Selby P. Emergency management of acute hypercalcaemia in adult patients. Endocrine connections. 2016;5(5):G9-g11.

Minisola S, Pepe J, Piemonte S, Cipriani C. The diagnosis and management of hypercalcaemia. BMJ (Clinical research ed). 2015;350:h2723.

Cho KC. Electrolyte and Acid-Base Disorders. In: McPhee MAPaSJ, editor. Current Medical Diagnosis and Treatment. 56th ed: McGraw-Hill Education; 2017.

Marcocci C, Cetani F. Clinical practice. Primary hyperparathyroidism. The New England journal of medicine. 2011;365(25):2389-97.

How to cite this article:

Mustafa Dogan; Severe hypercalcemia case secondary to Parathyroid Adenoma: A case report; International Journal of Nursing and Medical Science 2018; 7 (4), 38-43.


Refbacks

  • There are currently no refbacks.