공터키안(Empty sella)을 동반한 급성췌장염으로 발현된 부갑상선 선종 1예
A Case of Parathyroid Adenoma Presenting as Acute Pancreatitis Accompanied with Empty Sella
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The incidence of coexisting hyperparathyroidism and empty sella syndrome is rare and the etiology and incidence of their coexistence is not known. The association of hyperparathyroidism and the empty sella syndrome may be related to multiple endocrine neoplasia (MEN) syndrome due to a genetic disorder. We experienced a rare case of hyperparathyroidism presenting as acute pancreatitis combined with empty sella. We report here a 37-year old female who manifested epigastric pain because of acute pancreatitis. She had hypercalcemia due to parathyroid adenoma. A pituitary gland was not visible in the sella turcica on MRI scans. On genetic analysis, she did not show a mutation of the MENIN gene. Empty sella is thought to be a coincidental finding with hyperparathyroidism.
Abstract
The incidence of coexisting hyperparathyroidism and empty sella syndrome is rare and the etiology and incidence of their coexistence is not known. The association of hyperparathyroidism and the empty sella syndrome may be related to multiple endocrine neoplasia (MEN) syndrome due to a genetic disorder. We experienced a rare case of hyperparathyroidism presenting as acute pancreatitis combined with empty sella. We report here a 37-year old female who manifested epigastric pain because of acute pancreatitis. She had hypercalcemia due to parathyroid adenoma. A pituitary gland was not visible in the sella turcica on MRI scans. On genetic analysis, she did not show a mutation of the MENIN gene. Empty sella is thought to be a coincidental finding with hyperparathyroidism.
참고문헌 (18)
- Brandi ML, "Guidelines for diagnosis and therapy of MEN type 1 and type 2", J Clin Endocrinol Metab, 86(12), pp.5658~5671 (2001)
- Kim KR, "Primary empty sella syndrome", J Korean Soc Endocrinol, 12(3), pp.386~392 (1997)
- 조현선, "공터키안을 동반한 말단비대증 2예", Endocrinology and Metabolism, 21(6), pp.572~576 (2006), 대한내분비학회
- Baker BA, "Association of empty sella syndrome and primary hyperparathyroidism", Mayo Clin Proc, 57(4), pp.259~262 (1982)
- Muhr C, "Screening for multiple endocrine neoplasia syndrome (type 1) in patients with primary hyperparathyroidism", Clin Endocrinol (Oxf), 20(2), pp.153~162 (1984)
- 성혜영, "MEN1 유전자 돌연변이로 진단된 가족성 제1형 다발성내분비선종 1예", Endocrinology and Metabolism, 21(6), pp.560~566 (2006), 대한내분비학회
- Cope O, "Pancreatitis, a diagnostic clue to hyperparathyroidism", Ann Surg, 145(6), pp.857~863 (1957)
- Dora JM, "Pancreatitis as the first manifestation of multiple endocrine neoplasia type 2A", Arq Bras Endocrinol Metabol, 52(8), pp.1332~1336 (2008)
- Bess MA, "Hyperparathyroidism and pancreatitis. Chance or a causal association?", JAMA, 243(3), pp.246~247 (1980)
- Prinz RA, "The association of primary hyperparathyroidism and pancreatitis", Am Surg, 51(6), pp.325~329 (1985)
- Kwon YK, "A case of parathyroid adenoma associated with acute pancreatitis as a initial manifestation", J Korean Soc Endocrinol, 5(2), pp.141~144 (1990)
- Jordan RM, "The primary empty sella syndrome: analysis of the clinical characteristics, radiographic features, pituitary function and cerebrospinal fluid adenohypophysial hormone concentrations", Am J Med, 62(4), pp.569~580 (1977)
- Bjerre P, "The empty sella and pituitary adenomas. A theory on the causal relationship", Acta Neurol Scand, 66(1), pp.82~92 (1982)
- Degli Uberti EC, "The empty sella syndrome. Clinical, radiological and endocrinologic analysis in 20 cases", Minerva Endocrinol, 14(1), pp.1~18 (1989)
- Gallardo E, "The empty sella: results of treatment in 76 successive cases and high frequency of endocrine and neurological disturbances", Clin Endocrinol (Oxf), 37(6), pp.529~533 (1992)
- "Minerva Med", 1992, 757~763
- Ginn DR, "Parathyroid adenoma manifested as pancreatitis and polyuria", South Med J, 84(8), pp.1023~1025 (1991)
- 최창수, "부갑상선 기능항진증에 의한 급성 췌장염 1예", 대한내과학회지, 69(5), pp.561~564 (2005), 대한내과학회