Turner syndrome with primary hyperparathyroidism
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Turner syndrome has multiple comorbidities such as osteoporosis, obesity, diabetes,hypothyroidism, and hypertension. As they are treatable conditions, when there is early recognition and proper treatment is given. We report on a 23-year-old woman with Turner syndrome who presented with severe osteoporosis and hypercalcemia. Laboratory tests showed elevated levels of serum calcium and parathyroid hormone. Dual-energy X-ray absorptiometry showed severe osteopo-rosis (z score, -3.5). Ultrasound and 99mTc scintigraphy of parathyroid glands showed an adenoma in the right inferior gland. She was diagnosed with primary hyperparathyroidism due to an adenoma of the parathyroid gland. After excision of the adenoma, the patient’s serum calcium and parathyroid hormone levels returned to normal. Although only a few cases of Turners syndrome with primary hyperparathyroidism have been reported,hyperparathyroidism should be considered in cases of Turner syndrome with severe osteoporosis and hypercalcemia.
Abstract
Turner syndrome has multiple comorbidities such as osteoporosis, obesity, diabetes,hypothyroidism, and hypertension. As they are treatable conditions, when there is early recognition and proper treatment is given. We report on a 23-year-old woman with Turner syndrome who presented with severe osteoporosis and hypercalcemia. Laboratory tests showed elevated levels of serum calcium and parathyroid hormone. Dual-energy X-ray absorptiometry showed severe osteopo-rosis (z score, -3.5). Ultrasound and 99mTc scintigraphy of parathyroid glands showed an adenoma in the right inferior gland. She was diagnosed with primary hyperparathyroidism due to an adenoma of the parathyroid gland. After excision of the adenoma, the patient’s serum calcium and parathyroid hormone levels returned to normal. Although only a few cases of Turners syndrome with primary hyperparathyroidism have been reported,hyperparathyroidism should be considered in cases of Turner syndrome with severe osteoporosis and hypercalcemia.
참고문헌 (20)
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