A Puzzling Case of Phospho-Soda-induced Hypocalcemia in a Patient with Multiple Endocrine Neoplasia Type 1-associated Primary Hyperparathyroidism

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概要

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• Although rare, symptomatic hypocalcemia may develop after the administration of phospho-soda. We herein present the case of a patient with phospho-soda-induced hypocalcemia who was surprisingly diagnosed with multiple endocrine neoplasia type 1 (MEN1) caused by a heterozygous mutation in the MEN1 gene (c628_631delACAG), thus resulting in a frameshift mutation (210ThrfsX224). In addition to being the first report of phospho-soda-induced hypocalcemia in a patient with MEN1-associated primary hyperparathyroidism, our report highlights the complex nature of calcium balance in the human body and helps clinicians to appreciate how confounding factors might affect the presentation of endocrine disorders.

著者

• AKINCI BARIS

  Division of Endocrinology and Metabolism, Department of Internal Medicine, Dokuz Eylul University Me

• Sarsik Banu

  Department Of Pathology Ege University School Of Medicine

• Ozveren Ahmet

  Department of Internal Medicine, Tepecik Training and Research Hospital, Turkey

• Makay Ozer

  Division of Endocrine Surgery, Department of Surgery, Ege University, Turkey

• Simsir Ilgin

  Division of Endocrinology, Department of Internal Medicine, Ege University, Turkey

• Berdeli Afig

  Children's Hospital, Molecular Medicine Laboratory, Ege University, Turkey

• Akyildiz Mahir

  Division of Endocrine Surgery, Department of Surgery, Ege University, Turkey

• Akinci Baris

  Division of Endocrinology and Metabolism, Department of Internal Medicine, Tepecik Training and Research Hospital, Turkey

• Sarsik Banu

  Department of Pathology, Ege University, Turkey

• Berdeli Afig

  Children's Hospital, Molecular Medicine Laboratory, Ege University, Turkey

関連論文

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• Pigmented ependymoma with signet-ring cells and Rosenthal fibers : A rare variant of ependymoma
• A Puzzling Case of Phospho-Soda-induced Hypocalcemia in a Patient with Multiple Endocrine Neoplasia Type 1-associated Primary Hyperparathyroidism

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