Acute hypercalcemia coincidental with intracapsular parathyroid hemorrhage
Joint Authors
Husayn, Wiam Ibrahim
Abbas, Suzan
Source
Issue
Vol. 42, Issue 3 (30 Sep. 2020), pp.221-223, 3 p.
Publisher
King Hamad University Hospital
Publication Date
2020-09-30
Country of Publication
Bahrain
No. of Pages
3
Main Subjects
Abstract EN
A thirty-two-year-old female presented with acute hypercalcemia and elevated parathyroid hormone (PTH) as the only finding.
she had a history of progressive generalized muscle and bone aches, weakness with inability to carry objects, insomnia, dysphonia, dysphagia, difficulty in walking and feeling depressed.
Neck MRI revealed intra-capsular hemorrhage in a large parathyroid adenoma.
hypercalcemia from intracapsular parathyroid hemorrhage is a rare clinical presentation.
two months earlier, she had completely normal blood chemistry which was performed during her regular thyroid replacement follow-up, the calcium level was 9.5 mg/dl (normal reference range : 8.40-10.20).
the investigations at presentation revealed elevated total calcium 11.2 mg/dl (8.40-10.20 mg/dl) and PTH 115 pg/ml (15-65 pg/ml) with normal albumin and phosphorus levels.
three days later, the patient had developed dysphonia, dysphagia, odynophagia and difficulty in walking; her repeat calcium level had increased to 12.7 mg/dl.
Neck MRI revealed a right inferior parathyroid (2.2x1.7x0.7 cm) adenoma with internal hemorrhage.
her surgical pathology confirmed the presence of intra-capsular hemorrhage in 2 cm parathyroid adenoma.
clinicians should be aware of the potential for occurrence of intracapsular parathyroid hemorrhage manifested as acute symptomatic hypercalcemia.
American Psychological Association (APA)
Husayn, Wiam Ibrahim& Abbas, Suzan. 2020. Acute hypercalcemia coincidental with intracapsular parathyroid hemorrhage. Bahrain Medical Bulletin،Vol. 42, no. 3, pp.221-223.
https://search.emarefa.net/detail/BIM-1494008
Modern Language Association (MLA)
Husayn, Wiam Ibrahim& Abbas, Suzan. Acute hypercalcemia coincidental with intracapsular parathyroid hemorrhage. Bahrain Medical Bulletin Vol. 42, no. 3 (Sep. 2020), pp.221-223.
https://search.emarefa.net/detail/BIM-1494008
American Medical Association (AMA)
Husayn, Wiam Ibrahim& Abbas, Suzan. Acute hypercalcemia coincidental with intracapsular parathyroid hemorrhage. Bahrain Medical Bulletin. 2020. Vol. 42, no. 3, pp.221-223.
https://search.emarefa.net/detail/BIM-1494008
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 223
Record ID
BIM-1494008