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Spontaneous Remission After a Hypercalcemic Crisis Caused by an Intracystic Hemorrhage of Bilateral Parathyroid Adenomas: A Case Report and Literature Review. | LitMetric

AI Article Synopsis

  • Hyperparathyroidism can lead to hypercalcemia, and spontaneous remission after a hypercalcemic crisis due to parathyroid adenomas is rare.
  • A case study of a 47-year-old male showed that his hypercalcemia resolved on its own after a hypercalcemic crisis, with pathology confirming intracystic hemorrhage in his adenomas.
  • The study emphasizes evaluating clinical symptoms and parathyroid function changes to determine the best surgical timing in similar cases.

Article Abstract

Background: Hyperparathyroidism is a common cause of hypercalcemia; however, spontaneous remission after a hypercalcemic crisis caused by an intracystic hemorrhage of parathyroid adenomas is very rare. The question, then, is "What is the best treatment strategy for this type of case?"

Method: A 47-year-old male patient with primary hyperparathyroidism and a hypercalcemic crisis is reported. Hypercalcemia was spontaneously relieved thereafter. Postoperative paraffin pathology results indicated an intracystic hemorrhage of bilateral parathyroid adenomas.

Results: After the case report, a literature review is also included to summarize the clinical features of this patient and to provide special reference for clinical diagnosis and treatment of similar cases.

Conclusions: The choice of surgical timing for such cases can be made based on the comprehensive consideration of clinical symptoms and changes in parathyroid function.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8573193PMC
http://dx.doi.org/10.3389/fendo.2021.766234DOI Listing

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