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원발성 부갑상선 기능항진증과 동반한 전이성 폐석회화증 1예

Other Titles
 A Case of Metastatic Pulmonary Calcification in Primary Hyperparathyroidism 
Authors
 이광은  ;  김혜진  ;  이시훈  ;  배상운  ;  강은석  ;  정혜원  ;  서혜선 
Citation
 Journal of Korea Society of Endocrinology (대한내분비학회지), Vol.17(4) : 583-587, 2002 
Journal Title
 Journal of Korea Society of Endocrinology (대한내분비학회지) 
ISSN
 1015-6380 
Issue Date
2002
Keywords
Metastatic pulmonary calcification ; Primary hyperparathyroidism
Abstract
Metastatic calcification is the deposition of calcium, in previously normal tissue, as a result of elevated plasma calcium and phosphorus product levels and has been reported in patients with parathyroid adenoma, parathyroid carcinoma, hyperparathyroidism due to chronic renal failure, vitamin D intoxication, and osteolytic bone tumors, such as multiple myelomas. The lungs are the most common site of metastatic calcification. We have experienced metastatic pulmonary calcification in a case of primary hyperparathyroidism. A 55-year old woman was admitted due to general weakness. From the laboratory evaluation, hypercalcemia and excess production of parathyroid hormone(PTH)were noted, technetium-99m-labelled sestamibi scintigraphy indicated an intense uptake in the lower pole area of the left thyroid gland, suggestive of a parathyroid adenoma. A technetium-99m phosphate (^(99m)Tc-MDP) bone scan showed increased uptakes in both lungs. A parathyroid lobectomy was performed, and primary hyperparathyroidism, due to a parathyroid adenoma, was finally diagnosed. A follow-up ^(99m)Tc-MDP bone scan showed the disappearance of the metastatic pulmonary calcification, with the clinical symptoms and biochemical parameters normalizing after 6 months
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Eun Seok(강은석) ORCID logo https://orcid.org/0000-0002-0364-4675
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/144666
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