dihydrotachysterol and Pancreatitis

In hypercalcaemic crisis sonographic identification of an enlarged parathyroid permits the indication for parathyroidectomy. This is particularly important as determination of the parathormone concentration to find out the cause of hypercalcaemia takes too long and thus delays diagnosis and therapy. In two patients with symptoms of crisis successful parathyroidectomy was performed solely on the basis of a raised serum calcium concentration and a sonographically proven enlarged parathyroid.

Topics: Acute Kidney Injury; Adenoma; Adult; Calcium; Creatinine; Dihydrotachysterol; Female; Humans; Hypercalcemia; Male; Middle Aged; Pancreatitis; Parathyroid Hormone; Parathyroid Neoplasms; Renal Dialysis; Ultrasonography

Hyperparathyroidism during pregnancy is an uncommon condition. Several case reports and literature reviews in the last two decades have reported only benign tumors but have demonstrated that this disease is associated with significant neonatal morbidity and mortality as well as maternal morbidity. Parathyroid carcinoma is a rare disease entity associated with a much more severe course and prognosis than parathyroid adenomas; it has not been reported in a pregnant woman. We report here a case of a hyperfunctioning parathyroid carcinoma that presented as acute pancreatitis in pregnancy. The details of the case management and outcome in both the patients and infant are discussed. A summary of the literature on the findings and management of parathyroid carcinoma is also discussed in relation to this case report.

Topics: Acute Disease; Adult; Calcium; Diagnosis, Differential; Dihydrotachysterol; Female; Humans; Hyperparathyroidism; Infant, Newborn; Pancreatitis; Parathyroid Neoplasms; Pregnancy; Pregnancy Complications

Topics: Animals; Calcium; Dietary Fats; Dihydrotachysterol; Glucocorticoids; Heparin; Immunity, Active; Male; Mast Cells; Pancreas; Pancreatitis; Parasympatholytics; Rats

Topics: Albumins; Calciphylaxis; Dihydrotachysterol; Iron; Nephrocalcinosis; Pancreatitis; Pathology; Rats; Research; Toxicology

Topics: Aprotinin; Bile Acids and Salts; Calciphylaxis; Dihydrotachysterol; Enzyme Inhibitors; Kallikreins; Pancreatitis; Rats; Research; Salts; Taurocholic Acid; Trypsin Inhibitors

Topics: Adrenal Cortex Hormones; Basal Ganglia; Calcinosis; Cataract; Cholecystectomy; Dihydrotachysterol; Drug Therapy; Ganglia; Humans; Hypocalcemia; Hypoparathyroidism; Pancreatitis; Pneumonia; Postoperative Complications; Radiography, Thoracic; Sarcoidosis; Tetanus; Tetanus Toxoid