Show simple item record

dc.contributor.authorHrund Þórhallsdóttir
dc.contributor.authorKristján Skúli Ásgeirsson
dc.contributor.authorÁgústa Ólafsdóttir
dc.contributor.authorTómas Guðbjartsson
dc.date.accessioned2010-10-11T10:56:06Z
dc.date.available2010-10-11T10:56:06Z
dc.date.issued2010-07-01
dc.date.submitted2010-10-11
dc.identifier.citationLæknablaðið 2010, 96(7-8):469-72en
dc.identifier.issn0023-7213
dc.identifier.pmid20601747
dc.identifier.urihttp://hdl.handle.net/2336/112758
dc.descriptionNeðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn Skoða/Opna(view/open)en
dc.description.abstractA 72 year old gentleman presented to the emergency department with symptoms of diffuse joint and muscular pain, fatigue and diminished memory. Serum calcium and parathyroid hormone levels were raised, consistent with primary hyperparathyroidism. No abnormality was found on an ultrasound scan of the neck. However, a sestamibi scan suggested a possible adenoma in the anterior mediastinum, which on computed tomography (CT) scan was 1.5 cm in size. A partial upper sternotomy was performed in order to excise the adenoma and his symptoms disappeared within several weeks. This case highlights the variable and commonly nonspecific symptoms of primary hyperparathyroidism and the less well known fact that parathyroid adenoma may occasionally be found intrathoracically.
dc.description.abstract72 ára karlmaður leitaði á bráðamóttöku vegna dreifðra lið- og vöðvaverkja, þreytu og minnisleysis. Bæði kalk í sermi (S-Ca2+) og kalkvaki (S-PTH, serum parathyroid hormone) reyndust hækkuð en stækkaðir kalkkirtlar fundust ekki við ómskoðun af hálsi. Á kalkirtlaskanni sást hins vegar aukin upptaka í fremra miðmæti sem á tölvusneiðmynd reyndist vera 1,5 cm stór fyrirferð. Fyrirferðin var fjarlægð í gegnum bringubeinsskurð og reyndist góðkynja kalkkirtilsæxli (adenoma). Einkenni hurfu á nokkrum vikum. Tilfellið sýnir hversu fjölskrúðug einkenni geta fylgt frumkomnu kalkvakaóhófi og að orsök þess getur verið kalkkirtilsæxli staðsett í brjóstholi.
dc.languageice
dc.language.isoisen
dc.publisherLæknafélag Íslands, Læknafélag Reykjavíkuren
dc.relation.urlhttp://www.laeknabladid.isen
dc.subjectKalkkirtlaren
dc.subjectÆxlien
dc.subject.meshAdenomaen
dc.subject.meshAgeden
dc.subject.meshBiological Markersen
dc.subject.meshCalciumen
dc.subject.meshHumansen
dc.subject.meshHyperparathyroidism, Primaryen
dc.subject.meshMaleen
dc.subject.meshParathyroid Hormoneen
dc.subject.meshParathyroid Neoplasmsen
dc.subject.meshRadiopharmaceuticalsen
dc.subject.meshSternotomyen
dc.subject.meshTechnetium Tc 99m Sestamibien
dc.subject.meshThoracic Neoplasmsen
dc.subject.meshTomography, X-Ray Computeden
dc.subject.meshTreatment Outcomeen
dc.subject.meshUp-Regulationen
dc.titleKalkvakaóhóf vegna kalkkirtilsæxlis í brjóstholi – sjúkratilfelli með umfjöllunis
dc.title.alternativePrimary hyperparathyroidism due to an intrathoracic parathyroid adenoma. - A case report and review of the literatureen
dc.typeArticleen
dc.contributor.departmentSkurðlækningasviðen
dc.identifier.journalLæknablaðiðen
refterms.dateFOA2018-09-12T10:31:14Z
html.description.abstractA 72 year old gentleman presented to the emergency department with symptoms of diffuse joint and muscular pain, fatigue and diminished memory. Serum calcium and parathyroid hormone levels were raised, consistent with primary hyperparathyroidism. No abnormality was found on an ultrasound scan of the neck. However, a sestamibi scan suggested a possible adenoma in the anterior mediastinum, which on computed tomography (CT) scan was 1.5 cm in size. A partial upper sternotomy was performed in order to excise the adenoma and his symptoms disappeared within several weeks. This case highlights the variable and commonly nonspecific symptoms of primary hyperparathyroidism and the less well known fact that parathyroid adenoma may occasionally be found intrathoracically.
html.description.abstract72 ára karlmaður leitaði á bráðamóttöku vegna dreifðra lið- og vöðvaverkja, þreytu og minnisleysis. Bæði kalk í sermi (S-Ca2+) og kalkvaki (S-PTH, serum parathyroid hormone) reyndust hækkuð en stækkaðir kalkkirtlar fundust ekki við ómskoðun af hálsi. Á kalkirtlaskanni sást hins vegar aukin upptaka í fremra miðmæti sem á tölvusneiðmynd reyndist vera 1,5 cm stór fyrirferð. Fyrirferðin var fjarlægð í gegnum bringubeinsskurð og reyndist góðkynja kalkkirtilsæxli (adenoma). Einkenni hurfu á nokkrum vikum. Tilfellið sýnir hversu fjölskrúðug einkenni geta fylgt frumkomnu kalkvakaóhófi og að orsök þess getur verið kalkkirtilsæxli staðsett í brjóstholi.


Files in this item

Thumbnail
Name:
L2010-07-96-F2.pdf
Size:
292.5Kb
Format:
PDF
Description:
Allur texti - Full text

This item appears in the following Collection(s)

Show simple item record