Domínguez GLG, Domínguez CLG

Language: Spanish
References: 4
Page: 157-159
PDF size: 164.66 Kb.

ABSTRACT

Introduction: primary hyperparathyroidism is the third most common metabolic disorder, causing an increase in the parathyroid hormone and serum calcium. It is caused by hyperactivity of the parathyroid glands; in 85% of cases, it is due to a parathyroid adenoma. It is asymptomatic (> 80%), but its manifestations can be musculoskeletal, neurological, psychiatric, renal, cardiovascular, and gastrointestinal. Case report: a 72-year-old female with hypertension, eight months with insomnia, frequent nausea, gastroesophageal reflux, and constipation, presented with left knee pain of two months' evolution without improvement with NSAID. X-ray showed linear meniscal calcification; laboratory studies showed an elevation of serum calcium, ionic calcium, parathyroid hormone, and urinary calcium. The scintigram with Tc99m MIBI showed parathyroid adenoma in the right lower lobe of the thyroid gland. She received surgical treatment; the anatomopathological study confirmed a follicular-type adenoma of the right parathyroid gland. Conclusions: chondrocalcinosis on plain radiography is a frequent finding in elderly people, and most of them will be asymptomatic and will not require treatment. However, whenever it is detected, it is essential to suspect the presence of hyperparathyroidism, so measurement of serum calcium should be part of the daily clinical evaluation of the elderly patient.

REFERENCES

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