Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
231 4 |
Ultima descărcare din IBN: 2024-01-16 17:32 |
Căutarea după subiecte similare conform CZU |
616.442-008.61:616.379-008.64 (1) |
Patologia sistemului limfatic, a organelor hemopoietice şi endocrine (189) |
Patologia sistemului digestiv. Tulburări ale tubului alimentar (1746) |
SM ISO690:2012 ŞEREMET, Aristia. Primary hyperparathyroidism in type 1 diabetes mellitus. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 254. ISSN 2345-1467. |
EXPORT metadate: Google Scholar Crossref CERIF DataCite Dublin Core |
Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
|
||||||
CZU: 616.442-008.61:616.379-008.64 | ||||||
Pag. 254-254 | ||||||
|
||||||
Descarcă PDF | ||||||
Rezumat | ||||||
Background. Hyperparathyroidism and carbohydrate metabolism disorders occur more frequently than previously thought. Hyperparathyroidism may be associated with diabetes due to hypercalcemia (8-22%), but there are also cases of association of primary hyperparathyroidism in diabetes (< 1%). Objective of the study. Presentation of a case of type 1 diabetes associated with primary hyperparathyroidism due to a parathyroid adenoma. Material and Methods. Anamnesis, clinical and paraclinical data were taken from the medical record. The patient underwent a SPECT/CT scan with 99mTc-MIBI. The literature on similar cases has been studied. Results. A 28-year-old man, known with type 1 diabetes since 2018, was admitted to the endocrinology department due to persistent hyperglycemia, for insulin doses adjustment. During hospitalization the abdominal USG showed micronephrolithiasis. Serum calcium was elevated; parathyroid hormone was elevated, characteristic for primary hyperparathyroidism. Considering the patients young age, surgical treatment was recommended. Preoperatively, SPECT/CT was performed, using 99mTc-MIBI with obvious retention of the contrast agent in the late phase at the level of the lower left parathyroid. Parathyroidectomy was performed successfully. Conclusion. Hyperglycemia and hyperparathyroidism may progress simultaneously, and in the context of free access to serum glucose and calcium dosing, vigilance for hyperglycemia in primary hyperparathyroidism and vice versa may lead to early diagnosis of both pathologies. |
||||||
Cuvinte-cheie type 1 diabetes, primary hyperparathyroidism, parathyroid adenoma, diabet zaharat tip 1, hiperparatiroidism primar, adenom paratiroidian |
||||||
|