A Case of Primary Hyperparathyroidism with Urinary Tract Stones as the Initial Symptom.

IF 0.7 4区医学 Q4 MEDICAL LABORATORY TECHNOLOGY

Clinical laboratory Pub Date : 2025-02-01 DOI:10.7754/Clin.Lab.2024.240838

Gangfeng Li, Qian Wang, Ningping Shan

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引用次数: 0

Abstract

Background: Primary hyperparathyroidism (PHPT) is a disease caused by excessive secretion of parathyroid hormone (PTH) due to parathyroid gland lesions, resulting in high serum calcium and low phosphorus, leading to symptoms such as digestive ulcers and urinary tract stones.

Methods: We report a case of multiple urinary tract stones with high serum calcium and low serum phosphorus. Upon investigation, it was found that the cause was primary hyperparathyroidism.

Results: The serum PTH level of the patient was detected to be significantly elevated. At the same time, neck ultra-sound showed the presence of a parathyroid adenoma. Therefore, it is believed that the patient has PHPT causing high serum calcium and low serum phosphorus, leading to multiple urinary tract stones.

Conclusions: When patients with urinary tract stones have high serum calcium levels and low serum phosphorus levels, laboratory personnel should consider the possibility of PHPT. Simultaneously measuring PTH levels and promptly reminding clinical doctors to perform parathyroid ultrasound and other examinations on patients to reduce the possibility of a missed PHPT diagnosis.

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来源期刊

Clinical laboratory 医学-医学实验技术

CiteScore

1.50

自引率

0.00%

发文量

494

审稿时长

3 months

期刊介绍： Clinical Laboratory is an international fully peer-reviewed journal covering all aspects of laboratory medicine and transfusion medicine. In addition to transfusion medicine topics Clinical Laboratory represents submissions concerning tissue transplantation and hematopoietic, cellular and gene therapies. The journal publishes original articles, review articles, posters, short reports, case studies and letters to the editor dealing with 1) the scientific background, implementation and diagnostic significance of laboratory methods employed in hospitals, blood banks and physicians'' offices and with 2) scientific, administrative and clinical aspects of transfusion medicine and 3) in addition to transfusion medicine topics Clinical Laboratory represents submissions concerning tissue transplantation and hematopoietic, cellular and gene therapies.