دورية أكاديمية
[Recurrent urolithiasis as a symptom of primary hyperparathyroidism in a 16-year-old boy].
| العنوان: | [Recurrent urolithiasis as a symptom of primary hyperparathyroidism in a 16-year-old boy]. |
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| عنوان ترانسليتريتد: | Nawracająca kamica układu moczowego jako objaw pierwotnej nadczynności przytarczyc u 16-letniego chłopca. |
| المؤلفون: | Wojciechowska M; Medical University of Lublin, Poland: Department of Pediatric Nephrology., Bieniaś B; Medical University of Lublin, Poland: Department of Pediatric Nephrology., Sobieszczańska-Droździel A; Medical University of Lublin, Poland: Department of Pediatric Nephrology., Wieczorkiewicz-Płaza A; Medical University of Lublin, Poland: Department of Pediatric Nephrology., Beń-Skowronek I; Medical University of Lublin, Poland: Department of Endocrinology and Pediatric Diabetology., Sikora P; Medical University of Lublin, Poland: Department of Pediatric Nephrology. |
| المصدر: | Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego [Pol Merkur Lekarski] 2018 Apr 23; Vol. 44 (262), pp. 208-210. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | Polish |
| بيانات الدورية: | Publisher: Aluna Publishing Country of Publication: Poland NLM ID: 9705469 Publication Model: Print Cited Medium: Print ISSN: 1426-9686 (Print) Linking ISSN: 14269686 NLM ISO Abbreviation: Pol Merkur Lekarski Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2023- : Konstancin-Jeziorna, Poland : Aluna Publishing Original Publication: Warszawa : MEDPRESS, [1996- |
| مواضيع طبية MeSH: | Hyperparathyroidism, Primary/*complications , Urolithiasis/*etiology, Adenoma/complications ; Adenoma/diagnostic imaging ; Adolescent ; Humans ; Hypercalcemia ; Hypercalciuria ; Hyperparathyroidism, Primary/diagnosis ; Hyperparathyroidism, Primary/diagnostic imaging ; Hyperparathyroidism, Primary/etiology ; Hypophosphatemia ; Male ; Parathyroid Hormone/blood ; Recurrence ; Urolithiasis/diagnostic imaging |
| مستخلص: | Primary hyperparathyroidism is one of the most common endocrine diseases, however, it is rare in children. In most cases, it is caused by adenoma of these organs. Its most common complications include urolithiasis, nephrocalcinosis and osteoporosis. Case Report: A 16-year-old patient was admitted to our Clinic because of his first-ever renal colic. The ultrasound examination revealed rightsided hydronephrosis caused by the presence of 9 mm stone in the upper part of the right ureter. In addition, the presence of 8 mm stone in the middle calyx of the left kidney was found. Due to the clinical picture, the patient was transferred to the urological department, where the effective ureterorenoscopic lithotripsy (URSL) was performed. Subsequent metabolic diagnostics showed hypercalcemia, hypophosphatemia, elevated levels of parathyroid hormone and hypercalciuria. In addition, the medical history revealed complicated, prolonged healing of a traumatic fracture of both bones of the left forearm in the last 12 months, requiring orthopedic treatment. Due to suspicion of primary hyperparathyroidism, parathyroid scintigraphy with MIBI scan by SPECT/ CT was performed. It revealed a focal lesion that could correspond to adenoma. The patient was referred to endocrinological care, but after 2 months he was readmitted to our Clinic, this time due to left renal colic. A left-sided ureteral stone was identified, which required another urological procedure. Conclusions: In differential diagnosis of urolithiasis in children, primary hyperparathyroidism should also be considered. (© 2018 MEDPRESS.) |
| فهرسة مساهمة: | Keywords: primary hyperparathyroidism; urolithiasis |
| المشرفين على المادة: | 0 (Parathyroid Hormone) |
| تواريخ الأحداث: | Date Created: 20180519 Date Completed: 20180712 Latest Revision: 20180712 |
| رمز التحديث: | 20240628 |
| PMID: | 29775451 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1426-9686 |
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