PRIMARY HYPERPARATHYROIDISM AS A CAUSE OF NEPHROCALCINOSIS AND NEPHROLITHIASIS IN AN ADOLESCENT PATIENT: A CLINICAL CASE

Q4 Medicine

Pediatriya - Zhurnal im G.N. Speranskogo Pub Date : 2023-08-10 DOI:10.24110/0031-403x-2023-102-4-186-193

E. Orekhova, O. Chugunova, S. Blokh, M. Boyadjan, M. Yudin, P.V. Pavlova, O. I. Yaroshevskaya, P. Shumilov

引用次数: 0

Abstract

Article describes a clinical case of a female adolescent with macrohematuria, nephrocalcinosis, nephrolithiasis and cholelithiasis, in which laboratory examination and imaging of parathyroid glands gave grounds to diagnose primary hyperparathyroidism due to parathyroid adenoma. Diagnosis was based on laboratory examination and later confirmed by instrumental methods: when hypercalcemia was detected, the necessary determination of parathyroid hormone level took place and when it increased, a mandatory biochemical analysis of urine was performed as well as required. Despite the rarity of primary hyperparathyroidism in childhood, alertness in relation to this pathology is necessary for pediatric practitioners of various specialties, including pediatric physicians and nephrologists, since this pathology is more likely in cases of nephrocalcinosis, nephrolithiasis and urolithiasis in children.

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本文报告一女性青少年大量血尿、肾钙质沉着症、肾结石和胆石症的临床病例，其中甲状旁腺的实验室检查和影像学检查为诊断甲状旁腺腺瘤引起的原发性甲状旁腺功能亢进提供了依据。诊断基于实验室检查，后来通过仪器方法证实:当检测到高钙血症时，进行必要的甲状旁腺激素水平测定，当它升高时，强制进行尿液生化分析。尽管原发性甲状旁腺功能亢进症在儿童中很少见，但对于各种专业的儿科医生，包括儿科医生和肾病学家来说，警惕这种病理是必要的，因为这种病理更可能出现在儿童肾钙质沉着症、肾结石和尿石症的病例中。

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

Pediatriya - Zhurnal im G.N. Speranskogo Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.60

自引率

0.00%

发文量

150

期刊介绍： Journal “Pediatria” named after G.N. Speransky (the official short names of the Journal are “Journal «Pediatria»,” “Pediatria,” and “«Pediatria,» the Journal”) is the oldest Soviet-and-Russian (in the Russian Federation, the CIS and former Soviet Union) scientific and practical medical periodical assigned for pediatricians that is published continuously since May, 1922, and distributed worldwide. Our mission statement specifies that we aim to the ‘raising the level of skills and education of pediatricians, organizers of children’s health protection services, medicine scientists, lecturers and students of medical institutes for higher education, universities and colleges worldwide with an emphasis on Russian-speaking audience and specific, topical problems of children’s healthcare in Russia, the CIS, Baltic States and former Soviet Union Countries and their determination with the use of the World’s best practices in pediatrics.’ As part of this objective, the Editorial of the Journal «Pediatria» named after G.N. Speransky itself adopts a neutral position on issues treated within the Journal. The Journal serves to further academic discussions of topics, irrespective of their nature - whether religious, racial-, gender-based, environmental, ethical, political or other potentially or topically contentious subjects. The Journal is registered with the ISSN, - the international identifier for serials and other continuing resources, in the electronic and print world: ISSN 0031-403X (Print), and ISSN 1990-2182 (Online). The Journal was founded by the Academician, Dr. Georgiy Nestorovich SPERANSKY, in May, 1922. Now (since 1973) the Journal bears his honorary name.