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Revista Cubana de Medicina Militar

Print version ISSN 0138-6557On-line version ISSN 1561-3046

Abstract

CAPOTE PEREIRA, Lázaro L et al. Multiple mediastinal ectopic parathyroid adenomas as the cause of hypercalcemia and renal failure. Rev Cub Med Mil [online]. 2009, vol.38, n.1. ISSN 0138-6557.

The medical history of a 66 years-old patient with a history of good health condition, who went to see the doctor because she felt exhausted, had lost appetite, her blood pressure figures had increased and her lower limbs had lost their elasticity. The supplementary exams showed severe hypercalcemia, progressive increase of creatinine values and high paratohormone figures. The diagnosis was a mass in her neck and multiple mediastinal parathyroid adenomas, detected by parathyroid gammagraphy with methoxy-isobutyl isonitrite 99 mtc and angiotomography of the mediastinum. This case was presented in this paper because it is not common to find primary hyperparathyroidism as the cause of rapidly progressive renal failure without obstructive nephropathy due to lithiasis. It was demonstrated that this kind of diagnosis can only be made if combined radiological techniques are used.

Keywords : Primary hyperthyroidism; ectopic parathyroid adenoma; hypercalcemia and renal failure..

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