Symptomatic Hypercalcemia Due to Painless Thyroiditis after Unilateral Adrenalectomy in a Patient with Cushings Syndrome

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概要

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• We report a 53-year-old woman with Cushings syndrome due to an adrenocortical adenoma, who underwent unilateral adrenalectomy and developed symptomatic hypercalcemia during the thyrotoxic period of painless thyroiditis, while tapering off a daily supplemented dose of cortisol. A study of patients with thyrotoxicosis and hypoadrenalism at our institute revealed that mild hypercalcemia was present in 9.9% of those with thyrotoxicosis and 5.0% of those with hypoadrenalism. The present case suggests that the simultaneous occurrence of thyrotoxicosis and hypoadrenalism may lead to overt hypercalcemia due to a synergistic increase in bone resorption and impaired urinary excretion of calcium.

著者

• Nishimaki Momoko

  Departments of Medicine, Institute of Clinical Endocrinology, Tokyo Women's Medical University

• Kimura Hironari

  Departments of Medicine, Institute of Clinical Endocrinology, Tokyo Women's Medical University

関連論文

• Symptomatic Hypercalcemia Due to Painless Thyroiditis after Unilateral Adrenalectomy in a Patient with Cushings Syndrome

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