SAT189 Giant Parathyroid Adenoma

Disclosure: S. Shah: None. P. Fujikawa: None. Parathyroid adenomas rarely weigh more than 4 grams. Our patient had a 5.3gram adenoma causing bilateral knee pain limiting mobility, constipation, low back pain, and frontal headache. Presenting with calcium of greater than 17 mg/dL, patient was treated...

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Autores principales: Shah, Siddharth, Fujikawa, Priscilla
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Bone And Mineral Metabolism
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10554766/
http://dx.doi.org/10.1210/jendso/bvad114.486
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author Shah, Siddharth
Fujikawa, Priscilla
author_facet Shah, Siddharth
Fujikawa, Priscilla
author_sort Shah, Siddharth
collection PubMed
description Disclosure: S. Shah: None. P. Fujikawa: None. Parathyroid adenomas rarely weigh more than 4 grams. Our patient had a 5.3gram adenoma causing bilateral knee pain limiting mobility, constipation, low back pain, and frontal headache. Presenting with calcium of greater than 17 mg/dL, patient was treated with 2 rounds of hemodialysis, calcitonin, Zoledronate, and aggressive IV hydration to decrease calcium levels prior to parathyroidectomy. Patient then went onto develop Hungry bone syndrome which was treated with calcium carbonate and calcitriol. This rare giant parathyroid adenoma presents a unique opportunity to learn about pathogenesis and treatment of longstanding hyperparathyroidism causing hypercalcemia associated symptoms and hungry bone syndrome after parathyroidectomy. Presentation: Saturday, June 17, 2023
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spelling pubmed-105547662023-10-06 SAT189 Giant Parathyroid Adenoma Shah, Siddharth Fujikawa, Priscilla J Endocr Soc Bone And Mineral Metabolism Disclosure: S. Shah: None. P. Fujikawa: None. Parathyroid adenomas rarely weigh more than 4 grams. Our patient had a 5.3gram adenoma causing bilateral knee pain limiting mobility, constipation, low back pain, and frontal headache. Presenting with calcium of greater than 17 mg/dL, patient was treated with 2 rounds of hemodialysis, calcitonin, Zoledronate, and aggressive IV hydration to decrease calcium levels prior to parathyroidectomy. Patient then went onto develop Hungry bone syndrome which was treated with calcium carbonate and calcitriol. This rare giant parathyroid adenoma presents a unique opportunity to learn about pathogenesis and treatment of longstanding hyperparathyroidism causing hypercalcemia associated symptoms and hungry bone syndrome after parathyroidectomy. Presentation: Saturday, June 17, 2023 Oxford University Press 2023-10-05 /pmc/articles/PMC10554766/ http://dx.doi.org/10.1210/jendso/bvad114.486 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the Endocrine Society. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Bone And Mineral Metabolism
Shah, Siddharth
Fujikawa, Priscilla
SAT189 Giant Parathyroid Adenoma
title SAT189 Giant Parathyroid Adenoma
title_full SAT189 Giant Parathyroid Adenoma
title_fullStr SAT189 Giant Parathyroid Adenoma
title_full_unstemmed SAT189 Giant Parathyroid Adenoma
title_short SAT189 Giant Parathyroid Adenoma
title_sort sat189 giant parathyroid adenoma
topic Bone And Mineral Metabolism
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10554766/
http://dx.doi.org/10.1210/jendso/bvad114.486
work_keys_str_mv AT shahsiddharth sat189giantparathyroidadenoma
AT fujikawapriscilla sat189giantparathyroidadenoma

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