Idiopathic hypoparathyroidism presenting as fatigue.

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL
Ravishankar Gaddehosur Mylaraiah, Soumya Kanakatte Sathyanarayan
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引用次数: 0

Abstract

Fatigue is a common symptom encountered in clinical practice, often posing a diagnostic challenge due to its myriad underlying causes. A comprehensive clinical history can serve as a valuable guide in such diagnostic dilemmas. A man in his 30s presented with a history of intermittent fatigue. The history of premature cataract surgery prompted an investigation for hypocalcaemia. Subsequent evaluation revealed hypocalcaemia, hyperphosphatemia and low serum parathyroid hormone. Additionally, elevated creatine kinase and lactate dehydrogenase levels were noted. Treatment with calcium and alfacalcidol yielded a favourable response. This case underscores the significance of revisiting clinical history and considering hypocalcaemia as a potential aetiology in cases of unexplained fatigue. It also emphasises the potential for overlooking the diagnosis due to the inconspicuous nature of hypocalcaemic myopathy in idiopathic hypoparathyroidism.

特发性甲状旁腺功能减退,表现为疲劳。
疲劳是临床实践中遇到的常见症状,由于其无数的潜在原因,经常提出诊断挑战。一个全面的临床病史可以作为一个有价值的指导,在这样的诊断困境。一名30多岁的男子有间歇性疲劳病史。早发白内障手术史促使对低钙血症进行调查。随后的评估显示低钙血症、高磷血症和低血清甲状旁腺激素。此外,肌酸激酶和乳酸脱氢酶水平升高。用钙和阿法骨化醇治疗产生了良好的反应。本病例强调了重述临床病史和考虑低钙血症作为不明原因疲劳病例潜在病因的重要性。它还强调了由于特发性甲状旁腺功能减退症低钙血症性肌病的不明显性质而忽视诊断的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMJ Case Reports
BMJ Case Reports Medicine-Medicine (all)
CiteScore
1.40
自引率
0.00%
发文量
1588
期刊介绍: BMJ Case Reports is an important educational resource offering a high volume of cases in all disciplines so that healthcare professionals, researchers and others can easily find clinically important information on common and rare conditions. All articles are peer reviewed and copy edited before publication. BMJ Case Reports is not an edition or supplement of the BMJ.
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