15岁女孩复发性尿石症的甲状旁腺瘤

Patrycja Kucaba, Katarzyna Dziadzio-Gąsior, R. Podlasek, P. Bar, B. Korczowski
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摘要

介绍和目的。几十年来,儿童尿石症的发病率一直在稳步增长,在住院治疗中所占的比例也在不断上升。肾结石是各种矿物盐的沉积。它们大多由钙组成,以高钙血症和高钙尿症为主。原发性甲状旁腺功能亢进是血液中钙含量升高的原因之一。案件描述。一名15岁女孩因复发性尿石症住院。调查显示高钙血症伴甲状旁腺激素升高。甲状腺超声示右叶下极附近局部改变,Sestamibi核扫描证实右下甲状旁腺腺瘤。手术切除甲状旁腺与目前的腺瘤。钙、磷酸盐稳态参数及肾脏超声图像均无明显偏离正常值。结论。在发现复发性尿石症的原因后,应用手术治疗解决了所有疾病的表现。
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Parathyroid adenoma in a 15-year-old girl with recurrent urolithiasis
Introduction and aim. The incidence of urolithiasis in children has been growing steadily for several decades, and it accounts for an increasing percentage of hospitalizations. Kidney stones are deposits of various mineral salts. Most of them are composed of calcium, favored by hypercalcemia and hypercalciuria. Primary hyperparathyroidism is one of the reasons for increased calcium levels in the blood. Description of the case. A 15-year-old girl was hospitalized due to recurrent urolithiasis. Investigations revealed hypercalcemia with elevated parathyroid hormone. Ultrasound of the thyroid gland showed a local change near the lower pole of its right lobe, and Sestamibi nuclear scan confirmed the presence of the adenoma of the lower right parathyroid gland. Surgical removal of the parathyroid gland with the present adenoma was performed. Calcium and phosphate homeostasis parameters and the kidneys’ ultrasound image were without any significant deviations from the norm. Conclusion. After finding the cause of recurrent urolithiasis, the applied surgical treatment resolved all disease manifestations.
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