hyperparathyroidism/fatigue

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Primary hyperparathyroidism during pregnancy.

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OBJECTIVE To provide an up-to-date review of primary hyperparathyroidism (HPT) as a complication of pregnancy. METHODS We discuss the initial manifestations of primary HPT in pregnant patients, the diagnosis, the differential diagnosis of hypercalcemia, and the recommended treatment

Psychiatric morbidity in primary hyperparathyroidism.

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Psychiatric symptoms are well recognized as a feature of patients with primary hyperparathyroidism. We have applied a standardized psychiatric interview to 15 patients before and after surgery. Thirteen had a lower 'psychiatric score' (less psychiatric morbidity) after surgery and improvements were

[Overlooked primary hyperparathyroidism presented with fractures: case report].

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In the present paper, we report a female patient with multiple cystic lesions of bone arising from the primary hyperparathyroidism and pathological femur and contralateral tibia fractures at the level of these cystic lesions (osteitis fibrosa cystica). The patient's history revealed that she was

Primary hyperparathyroidism and Klinefelter's syndrome in a young man.

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We report the association of primary hyperparathyroidism (PHPT) and Klinefelter's syndrome (KS) in a 22-year-old male complaining of worsening fatigue. PHPT was asymptomatic at the diagnosis, but the patient had worsening hypercalcemia and osteoporosis, and developed acute renal colic. He then

Clinical spectrum of primary hyperparathyroidism: evolution with changes in medical practice and technology.

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Over the last 25 years, the perceived clinical spectrum of primary hyperparathyroidism (HPT) has changed dramatically from a disorder characterized by severe bone and renal disease to one typically manifested by few or mild symptoms and little evidence of organ damage. Reasons for this change in

Diagnosis and management of asymptomatic hyperparathyroidism: safety, efficacy, and deficiencies in our knowledge.

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Several recent articles question whether patients with asymptomatic hyperparathyroidism and minimal hypercalcemia should be treated by parathyroidectomy. We therefore reviewed our experience in 103 consecutive patients with primary hyperparathyroidism who were treated by parathyroidectomy to

[Hyperparathyroidism--new aspects].

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Hyperparathyroidism is generally classified into a primary and secondary form. The primary form is caused by an autonomous adenomatous hypertrophy and/or hyperplasia of parythyroideal glands without known cause in most of the patients. Resulting elevated levels of parathyroid hormone cause elevation

[Multiple myeloma in a patient with primary hyperparathyroidism].

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A 50-year-old man presented with knee pain and general fatigue and was found to have severe hypercalcemia and renal failure. Hyperparathyroidism was suspected by hypercalcemia and a nodular lesion of the thyroid gland with CT-scan of the patient's neck. Exploration of the neck disclosed two slightly

Old age is not a contra-indication for surgery in patients with primary hyperparathyroidism.

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OBJECTIVE Neck exploration for hyperparathyroidism is sometimes withheld from elderly patients out of concern for the risks. The question whether this concern is founded in fact was examined in a consecutive series of 18 patients aged 70 years or older who were operated for primary

Hyperparathyroidism-jaw tumor syndrome.

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BACKGROUND Hyperparathyroidism-jaw tumor (HPT-JT) syndrome is a rare autosomal dominant multiple tumor syndrome characterized by hyperparathyroidism due to single or multiple-gland parathyroid tumor(s). Since it was first described in 1990, the genetics underlying the syndrome have been elucidated

Posterior fossa arachnoid cyst masking a delayed diagnosis of hyperparathyroidism in a child.

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Background. Primary hyperparathyroidism in childhood is a very rare entity, often being diagnosed late after the onset of its presenting symptoms. It most commonly affects patients in their fourth decade of life and beyond. The inclusion of primary hyperparathyroidism in the differential diagnosis

A case of hypercalcaemic crisis secondary to coexistence of primary hyperparathyroidism and Graves' disease.

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A 46 year-old female patient presented to the hospital with ongoing and progressively increasing fatigue, severe nausea and vomiting, loss of appetite, constipation, palpitations and somnolence. Laboratory evaluation revealed a severe hypercalcaemia and overt hyperthyroidism. She was diagnosed with

Primary hyperparathyroidism with cardiac abnormalities: a case report.

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Primary hyperparathyroidism, characterized by hypersecretion of parathyroid hormone (PTH) leading to hypercalcemia and relative hypophosphatemia, is quite common in the elderly. Most patients with primary hyperparathyroidism have only mild hypercalcemia and are symptomless. But others experience

Unusual case of calciphylaxis associated with primary hyperparathyroidism without coexistent renal failure.

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OBJECTIVE To report a case of calciphylaxis in a patient with primary hyperparathyroidism without coexistent renal failure. METHODS The clinical, laboratory, and radiographic details of this case are reviewed, and the pathogenesis of calciphylaxis and the associated prognosis are

Pulmonary function tests in patients with primary hyperparathyroidism.

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BACKGROUND There is limited information on respiratory muscle functions in patients with primary hyperparathyroidism (PHPT). OBJECTIVE To assess respiratory muscle dysfunction in patients with PHPT. METHODS This prospective study was carried between January 2005 and December 2006 by the Department

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