An Instructive Case Suggesting Cyclical Primary Hyperparathyroidism

An instructive case suggesting cyclical primary hyperparathyroidism.

We report an instructive case of primary hyperparathyroidism in which cyclical secretion of PTH may have caused repeated hypercalcemic crises followed by temporary remission with a spontaneous drop in PTH. A 64-year-old man was admitted to our hospital twice with severe hypercalcemic crisis (corrected calcium (cCa) 15.0 mg/dl and 16.7 mg/dl) accompanied by an increase in intact PTH (220 pg/ml a...

Primary Hyperparathyroidism and Pancreatitis: an Uncommon Cause of Pancreatitis

Primary Hyperparathyroidism: An Overview

Primary hyperparathyroidism is a common condition that affects 0.3% of the general population. Primary and tertiary care specialists can encounter patients with primary hyperparathyroidism, and prompt recognition and treatment can greatly reduce morbidity and mortality from this disease. In this paper we will review the basic physiology of calcium homeostasis and then consider genetic associati...

Hypercalcaemia with Hypocalcuria, an Unusual Case of Primary Hyperparathyroidism

The importance of this case lies in its great rarity, and the presence of hypercalcae-niia with a low urinary output of calcium in hyperparathyroidism due to parathyroid adenoma which was proven by autopsy. Only three other similar cases have been described. aged 74, had had rheumatoid arthritis which began in her thirties, put had not been troublesome for many years. Aged 39 she knocked her ri...

An Irritable Infant and the Runaway Redback: An Instructive Case

The envenomation syndrome of Redback spider bites, lactrodectism, is distinctive. However diagnosis can be difficult due to an atypical presentation. We describe the case of a 1 year old boy with irritability, diaphoresis and reduced oral intake, in whom a diagnosis was made of redback spider bite. Successful resolution of symptoms was achieved following treatment with antivenom. The symptoms a...