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Primary Hyperparathyroidism Masquerading as Acute Pancreatitis
Hormone and Metabolic Research ( IF 2.0 ) Pub Date : 2021-06-21 , DOI: 10.1055/a-1495-5573
Saurabh Arora 1 , Parminder Singh 1 , Rohit Verma 1 , Naveen Mittal 1 , Ajit Sood 1 , Sanjay Kalra 1 , Dhananjaya Shanthaiah 1
Affiliation  

Acute pancreatitis as an initial manifestation of primary hyperparathyroidism (PHPT) is a rare occurrence and timely diagnosis of PHPT is crucial in preventing repeat attack of pancreatitis. The study aimed at evaluating the clinico-radiological profile of patients admitted with acute pancreatitis as the index presentation of PHPT and to determine the factors associated with development of severe pancreatitis. This series included retrospective analysis of medical records of 30 patients admitted with acute pancreatitis as initial manifestation of PHPT. Additionally, we analyzed the data of another 30 patients admitted with PHPT but without any evidence of pancreatitis, to serve as control group. The mean age of the subjects was 44.9±13.9 years with male to female ratio of 1.30. The mean serum calcium level was 12.24±2.79 mg/dl and five (16.6%) patients had normocalcemia at time of presentation. Presence of nephrolithiasis was significantly associated with severe pancreatitis. One patient had refractory hypercalcemia associated with renal failure and was successfully managed with denosumab. Patients with PHPT associated with acute pancreatitis had significantly higher calcium levels and lower frequency of skeletal involvement as compared to PHPT patients without pancreatitis. PHPT masquerading as acute pancreatitis is rare and high index of suspicion is required to diagnose this condition especially in the presence of normocalcemia at presentation. Patients with PHPT associated pancreatitis had male preponderance, higher calcium levels, and lower frequency of skeletal involvement as compared to PHPT patients without pancreatitis.

中文翻译:

伪装成急性胰腺炎的原发性甲状旁腺功能亢进

急性胰腺炎作为原发性甲状旁腺功能亢进症 (PHPT) 的初始表现是罕见的,及时诊断 PHPT 对于预防胰腺炎反复发作至关重要。该研究旨在评估作为 PHPT 指标表现的急性胰腺炎患者的临床放射学特征,并确定与严重胰腺炎发展相关的因素。该系列包括对 30 名以急性胰腺炎作为 PHPT 初始表现入院的患者的病历进行回顾性分析。此外,我们分析了另外 30 名接受 PHPT 但没有任何胰腺炎证据的患者的数据,作为对照组。受试者的平均年龄为 44.9±13.9 岁,男女比例为 1.30。平均血清钙水平为 12.24±2.79 mg/dl,5 (16. 6%) 患者在就诊时血钙正常。肾结石的存在与严重的胰腺炎显着相关。一名患者患有与肾功能衰竭相关的难治性高钙血症,并用狄诺塞麦成功治疗。与没有胰腺炎的 PHPT 患者相比,患有急性胰腺炎的 PHPT 患者的钙水平显着更高,骨骼受累的频率更低。PHPT 伪装成急性胰腺炎是罕见的,需要高度怀疑来诊断这种情况,尤其是在出现正常钙血症的情况下。与没有胰腺炎的 PHPT 患者相比,患有 PHPT 相关胰腺炎的患者男性占优势,钙水平较高,骨骼受累的频率较低。肾结石的存在与严重的胰腺炎显着相关。一名患者患有与肾功能衰竭相关的难治性高钙血症,并用狄诺塞麦成功治疗。与没有胰腺炎的 PHPT 患者相比,患有急性胰腺炎的 PHPT 患者的钙水平显着更高,骨骼受累的频率更低。PHPT 伪装成急性胰腺炎是罕见的,需要高度怀疑来诊断这种情况,尤其是在出现正常钙血症的情况下。与没有胰腺炎的 PHPT 患者相比,患有 PHPT 相关胰腺炎的患者男性占优势,钙水平较高,骨骼受累的频率较低。肾结石的存在与严重的胰腺炎显着相关。一名患者患有与肾功能衰竭相关的难治性高钙血症,并用狄诺塞麦成功治疗。与没有胰腺炎的 PHPT 患者相比,患有急性胰腺炎的 PHPT 患者的钙水平显着更高,骨骼受累的频率更低。PHPT 伪装成急性胰腺炎是罕见的,需要高度怀疑来诊断这种情况,尤其是在出现正常钙血症的情况下。与没有胰腺炎的 PHPT 患者相比,患有 PHPT 相关胰腺炎的患者男性占优势,钙水平较高,骨骼受累的频率较低。一名患者患有与肾功能衰竭相关的难治性高钙血症,并用狄诺塞麦成功治疗。与没有胰腺炎的 PHPT 患者相比,患有急性胰腺炎的 PHPT 患者的钙水平显着更高,骨骼受累的频率更低。PHPT 伪装成急性胰腺炎是罕见的,需要高度怀疑来诊断这种情况,尤其是在出现正常钙血症的情况下。与没有胰腺炎的 PHPT 患者相比,患有 PHPT 相关胰腺炎的患者男性占优势,钙水平较高,骨骼受累的频率较低。一名患者患有与肾功能衰竭相关的难治性高钙血症,并用狄诺塞麦成功治疗。与没有胰腺炎的 PHPT 患者相比,患有急性胰腺炎的 PHPT 患者的钙水平显着更高,骨骼受累的频率更低。PHPT 伪装成急性胰腺炎是罕见的,需要高度怀疑来诊断这种情况,尤其是在出现正常钙血症的情况下。与没有胰腺炎的 PHPT 患者相比,患有 PHPT 相关胰腺炎的患者男性占优势,钙水平较高,骨骼受累的频率较低。与没有胰腺炎的 PHPT 患者相比,患有急性胰腺炎的 PHPT 患者的钙水平显着更高,骨骼受累的频率更低。PHPT 伪装成急性胰腺炎是罕见的,需要高度怀疑来诊断这种情况,尤其是在出现正常钙血症的情况下。与没有胰腺炎的 PHPT 患者相比,患有 PHPT 相关胰腺炎的患者男性占优势,钙水平较高,骨骼受累的频率较低。与没有胰腺炎的 PHPT 患者相比,患有急性胰腺炎的 PHPT 患者的钙水平显着更高,骨骼受累的频率更低。PHPT 伪装成急性胰腺炎是罕见的,需要高度怀疑来诊断这种情况,尤其是在出现正常钙血症的情况下。与没有胰腺炎的 PHPT 患者相比,患有 PHPT 相关胰腺炎的患者男性占优势,钙水平较高,骨骼受累的频率较低。
更新日期:2021-06-22
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