Metastatic pancreatic neuroendocrine tumor with ectopic adrenocorticotropic hormone production.

We describe a 71-year-old man who presented with abdominal pain, lower-extremity edema, recent unintentional weight loss, hypertension, hyperglycemia, hypokalemia, and metabolic alkalosis. Serum cortisol levels remained elevated after overnight high-dose dexamethasone suppression. Magnetic resonance imaging revealed a small mass in the head of the pancreas with scattered liver metastases.

Long-term follow-up of patients with hypoparathyroidism.

Context: Despite tremendous interest in hypoparathyroidism, large cohort studies describing typical treatment patterns, laboratory parameters, and rates of complications are lacking.

Objective: Our objective was to characterize the course of disease in a large cohort of hypoparathyroid patients.

Design And Setting: We conducted a chart review of patients with permanent hypoparathyroidism identified via a clinical patient data registry.