Severe Hypocalcemia Complicated by Postsurgical Hypoparathyroidism and Hungry Bone Syndrome in a Patient with Primary Hyperparathyroidism, Graves' Disease, and Acromegaly
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概要
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We herein report a case of severe postsurgical hypocalcemia associated with primary hyperparathyroidism (pHPT), Graves' disease (GD) and acromegaly (AC). A 54-year-old woman was referred to our clinic for treatment of pHPT and GD. She also had active AC and was clinically diagnosed as multiple endocrine neoplasm type 1 because of pHPT and AC. Two enlarged parathyroid glands were detected by preoperative examinations. We performed total parathyroidectomy and thyroidectomy. After the operation, she showed severe hypocalcemia induced by postsurgical hypoparathyroidism and hungry bone syndrome. This is a rare case of postsurgical severe hypocalcemia associated with pHPT, GD and AC.
著者
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Yamashita Hiroyuki
Department Of Collagen Disease National Center For Global Health And Medicine
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Sato Shinya
Department Of Animal Science Tokyo University Of Agriculture
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Akehi Yuko
Department Of Endocrinology And Diabetes Mellitus School Of Medicine Fukuoka University
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Tachibana Seigo
Department Of Endoclinology Noguchi Thyroid Clinic And Hospital Foundation
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Yanase Toshihiko
Department of Endocrinology and Diabetes Medicine, Fukuoka University Hospital, Japan
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Yanase Toshihiko
Department of Surgery, Hara Sanshin Hospital, Japan
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Nagaishi Ryoko
Department of Endocrinology and Diabetes Medicine, Fukuoka University School of Medicine, Japan
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Yokoi Tadao
Department of Surgery, Yamashita Thyroid and Parathyroid Clinic, Japan
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Sato Shinya
Department of Surgery, Hara Sanshin Hospital, Japan
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Akehi Yuko
Department of Endocrinology and Diabetes Medicine, Fukuoka University School of Medicine, Japan
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Yokoi Tadao
Department of Surgery, Hara Sanshin Hospital, Japan
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Tachibana Seigo
Department of Endocrinology, Yamashita Thyroid and Parathyroid Clinic, Japan
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