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Late diagnosis of pseudohypoparathyroidism in adulthood. Case series / Clara María Arango Toro ; Carolina Prieto Saldarriaga  

Público ISBD Título : Late diagnosis of pseudohypoparathyroidism in adulthood. Case series Otros títulos : Pseudohipoparatiroidismo diagnosticado tardí­amente en la adultez, una serie de casos Tipo de documento : documento electrónico Autores : Clara María Arango Toro, ; Carolina Prieto Saldarriaga, Fecha de publicación : 2018 Títulos uniformes : Revista de la Facultad de Medicina Idioma : Inglés (eng) Palabras clave : Pseudohypoparathyroidism  Parathyroid Diseases  Hypocalcemia  hyperphosphatemia Resumen : Introduction: Pseudohypoparathyroidism (PHP) is a rare hereditary disease, characterized by hypocalcemia/hyperphosphatemia secondary to peripheral resistance to parathyroid hormone (PTH). PHP diagnosis is usually precluded since hypocalcemia is considered as the primary diagnosis, thus delaying further diagnostic studies and preventing an adequate management of this clinical condition. Materials and methods: Retrospective review of the databases of the Endocrinology departments of two tertiary care centers of Medellin, Colombia from January 2012 to December 2016. Patients diagnosed with PHP based on clinical presentation and confirmatory laboratory values were included. Results: Four patients met the inclusion criteria. All PHP cases were diagnosed in adulthood despite strong early clinical and laboratory evidence of the disease. Three patients were diagnosed with Fahr’s syndrome and two with Albright’s hereditary osteodystrophy. The mean values obtained were PTH of 376.8 pg/mL, calcium of 6.17 mg/dL and phosphorus of 6.55 mg/dL. Conclusions: PHP is a rare disorder. This paper describes four PHP cases diagnosed during adulthood. Emphasis should be placed on the judicious approach to the patient with hypocalcemia and hyperphosphatemia with increased PTH and normal renal function, since these symptoms strongly suggest a diagnosis of PHP. Mención de responsabilidad : Maria Camila Trejo, Alejandro Roman-Gonzalez, Sebastian Ruiz, Catalina Tobón, Pablo Castaño, Clara Arango, Carolina Prieto DOI (Digital Object Identifier) : 10.15446/revfacmed.v66n4.66940 En línea : https://revistas.unal.edu.co/index.php/revfacmed/article/view/66940 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4700 Late diagnosis of pseudohypoparathyroidism in adulthood. Case series = Pseudohipoparatiroidismo diagnosticado tardí­amente en la adultez, una serie de casos [documento electrónico] / Clara María Arango Toro, ; Carolina Prieto Saldarriaga,  . - 2018. Obra : Revista de la Facultad de Medicina Idioma : Inglés (eng) Palabras clave : Pseudohypoparathyroidism  Parathyroid Diseases  Hypocalcemia  hyperphosphatemia Resumen : Introduction: Pseudohypoparathyroidism (PHP) is a rare hereditary disease, characterized by hypocalcemia/hyperphosphatemia secondary to peripheral resistance to parathyroid hormone (PTH). PHP diagnosis is usually precluded since hypocalcemia is considered as the primary diagnosis, thus delaying further diagnostic studies and preventing an adequate management of this clinical condition. Materials and methods: Retrospective review of the databases of the Endocrinology departments of two tertiary care centers of Medellin, Colombia from January 2012 to December 2016. Patients diagnosed with PHP based on clinical presentation and confirmatory laboratory values were included. Results: Four patients met the inclusion criteria. All PHP cases were diagnosed in adulthood despite strong early clinical and laboratory evidence of the disease. Three patients were diagnosed with Fahr’s syndrome and two with Albright’s hereditary osteodystrophy. The mean values obtained were PTH of 376.8 pg/mL, calcium of 6.17 mg/dL and phosphorus of 6.55 mg/dL. Conclusions: PHP is a rare disorder. This paper describes four PHP cases diagnosed during adulthood. Emphasis should be placed on the judicious approach to the patient with hypocalcemia and hyperphosphatemia with increased PTH and normal renal function, since these symptoms strongly suggest a diagnosis of PHP. Mención de responsabilidad : Maria Camila Trejo, Alejandro Roman-Gonzalez, Sebastian Ruiz, Catalina Tobón, Pablo Castaño, Clara Arango, Carolina Prieto DOI (Digital Object Identifier) : 10.15446/revfacmed.v66n4.66940 En línea : https://revistas.unal.edu.co/index.php/revfacmed/article/view/66940 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4700

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Parathyroid cysts: the Latin-American experience / Karen Palacios ; Juan Camilo Pérez Cadavid ; Alejandro Vélez Hoyos ; Carlos Simón Duque Fisher  

Público ISBD Título : Parathyroid cysts: the Latin-American experience Tipo de documento : documento electrónico Autores : Karen Palacios, ; Juan Camilo Pérez Cadavid, ; Alejandro Vélez Hoyos, ; Carlos Simón Duque Fisher, Fecha de publicación : 2016 Títulos uniformes : Gland Surgery Idioma : Inglés (eng) Palabras clave : Parathyroid diseases  cyst  parathyroid gland  parathyroid hormone  ultrasonography Resumen : Background: Parathyroid cyst is an infrequent and unsuspected disease. There are more than 300 hundred cases reported in the world literature, a few of them are from Latin America. The experience of our centers and a review of the cases are presented. Methods: Case report of a series of patients with parathyroid cyst from our institutions according to the CARE guidelines (Case Reports). A search of Medline, Embase, BIREME (Biblioteca Regional de Medicina) LILACS (Literatura Latinoamericana y del Caribe en Ciencias de la Salud), Google Scholar and Scielo (Scientific Electronic Library on Line) databases and telephonic or email communications with other experts from LatinAmerica was performed. Results: Six patients with parathyroid cyst were found in our centers in Colombia. Most of them were managed with aspiration of the cyst. Two of them required surgery. Only one case was functional. Twelve reports from Latin America were found for a total of 18 cases in our region adding ours. Conclusions: Parathyroid cysts are uncommonly reported in Latin America. Most of them are diagnosed postoperatively. Suspicion for parathyroid cyst should be raised when a crystal clear fluid is aspirated from a cyst. The confirmation of the diagnosis may be easily done if parathyroid hormone (PTH) level is measured in the cyst fluid. Mención de responsabilidad : Alejandro Román-González, Natalia Aristizábal, Carolina Aguilar, Karen Palacios, Juan Camilo Pérez, Alejandro Vélez-Hoyos, Carlos Simon Duque, Alvaro Sanabria Referencia : Gland Surg. 2016 Dec;5(6):559-564. DOI (Digital Object Identifier) : 10.21037/gs.2016.12.08 PMID : 28149800 En línea : http://gs.amegroups.com/article/view/13027/13328 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4608 Parathyroid cysts: the Latin-American experience [documento electrónico] / Karen Palacios, ; Juan Camilo Pérez Cadavid, ; Alejandro Vélez Hoyos, ; Carlos Simón Duque Fisher,  . - 2016. Obra : Gland Surgery Idioma : Inglés (eng) Palabras clave : Parathyroid diseases  cyst  parathyroid gland  parathyroid hormone  ultrasonography Resumen : Background: Parathyroid cyst is an infrequent and unsuspected disease. There are more than 300 hundred cases reported in the world literature, a few of them are from Latin America. The experience of our centers and a review of the cases are presented. Methods: Case report of a series of patients with parathyroid cyst from our institutions according to the CARE guidelines (Case Reports). A search of Medline, Embase, BIREME (Biblioteca Regional de Medicina) LILACS (Literatura Latinoamericana y del Caribe en Ciencias de la Salud), Google Scholar and Scielo (Scientific Electronic Library on Line) databases and telephonic or email communications with other experts from LatinAmerica was performed. Results: Six patients with parathyroid cyst were found in our centers in Colombia. Most of them were managed with aspiration of the cyst. Two of them required surgery. Only one case was functional. Twelve reports from Latin America were found for a total of 18 cases in our region adding ours. Conclusions: Parathyroid cysts are uncommonly reported in Latin America. Most of them are diagnosed postoperatively. Suspicion for parathyroid cyst should be raised when a crystal clear fluid is aspirated from a cyst. The confirmation of the diagnosis may be easily done if parathyroid hormone (PTH) level is measured in the cyst fluid. Mención de responsabilidad : Alejandro Román-González, Natalia Aristizábal, Carolina Aguilar, Karen Palacios, Juan Camilo Pérez, Alejandro Vélez-Hoyos, Carlos Simon Duque, Alvaro Sanabria Referencia : Gland Surg. 2016 Dec;5(6):559-564. DOI (Digital Object Identifier) : 10.21037/gs.2016.12.08 PMID : 28149800 En línea : http://gs.amegroups.com/article/view/13027/13328 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4608

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