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Journals / Bakırköy Tıp Dergisi / 2015 / Cilt: 11 - Sayı: 3

A paratyhroid adenoma case in intensive care unit: prognosis and treatment approach

Yoğun Bakım Ünitesinde Paratiroid Adenomlu Olgu: Prognoz ve Tedavi Yaklaşımı

Dilek ALTUN
Güray DEMİR
Evrim TÜLÜBAŞ
Zafer ÇUKUROVA
Ahmet TURHAN
Pages
127–130
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

High serum Ca+ and PTH levels were returned to normal after surgical excis

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Parathyroid adenoma is the most common cause of primary hyperparathyroidism.
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Key Findings & Data:More than 80% of the patients are asymptomatic and are usually diagnosed with incidentally detected high serum calcium levels.
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Conclusion & Impact:High serum Ca+ and PTH levels were returned to normal after surgical excis
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Parathyroid adenoma is the most common cause of primary hyperparathyroidism. More than 80% of the patients are asymptomatic and are usually diagnosed with incidentally detected high serum calcium levels. Concominant elevated levels of serum calcium (Ca++) and parathyroid hormone (PTH) is important in definitive diagnosis. Parathyroidectomy is the definitive treatment for primary hyperparathyroidism. Here, we report a patient with high serum calcium levels related to parathyroid adenoma and treated in intensive care unit (ICU). 54 years old female patient who is under treatment of osteoporosis had the symptoms of muscle weakness, fatigue, dizziness, vomiting, dehydration, polyuria and depression. High serum Ca+ and PTH levels were returned to normal after surgical excis

Özet

Primer hiperparatiroidizmin en önemli nedeni paratiroid adenomlarıdır. Hastaların %80’den fazlası asemptomatik olup genellikle tesadüfen saptanan yüksek serum kalsiyum seviyeleri ile tanı konur. Tanısında serum kalsiyum (Ca++) ve parathormon (PTH) seviyesi yüksekliğinin bir arada olması önemlidir. Burada, paratiroid adenomuna bağlı yüksek serum kalsiyum seviyeleri olan ve yoğun bakım servisinde tedavi edilen bir kadın hastayı sunduk. Hastamız 54 yaşında olup osteoporoz tedavisi görmekte; kas zayıflığı, yorgunluk, baş dönmesi, kusma, dehidratasyon, poliüri ve depresyon semptomları bulunmaktaydı. Yüksek olan serum Ca++ ve PTH seviyeleri cerrahi eksizyon sonrasında normal değerlerine döndü.

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Cite This Article

ALTUN, D., DEMİR, G., TÜLÜBAŞ, E., ÇUKUROVA, Z., TURHAN, A. (2015). A paratyhroid adenoma case in intensive care unit: prognosis and treatment approach. Bakırköy Tıp Dergisi, Cilt: 11 - Sayı: 3, 127–130. https://ajindex.com/articles/128889

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