TY - JOUR T1 - Çocukluk Çağında Hiperkalseminin Nadir Bir Nedeni Paratiroid Adenomu TT - A Rare Cause of Childhood Hypercalcemia: Parathyroid Adenoma AU - Buluş, Ayşe Derya AU - Yağlı, Elif AU - Işın, Uğur Ufuk PY - 2017 DA - October JF - Akademik Araştırma Tıp Dergisi JO - AATD PB - Keçiören Eğitim ve Araştırma Hastanesi WT - DergiPark SN - 2528-9152 SP - 122 EP - 125 VL - 1 IS - 3 LA - tr AB - Hiperparatiroidizm çocukluk çağında çok nadir görülenbir hastalıktır. Genellikle bulantı, kusma, kabızlık, irritabilite,letarji, başağrısı, poliüri ve polidipsi gibi özgül olmayansemptomlarla başvurabilmekte ve bu nedenle tanıalması gecikebilmektedir. Tanı klinik inceleme ve laboratuvarbulguları ile konulur. Görüntüleme yöntemleri ileparatiroid hiperplazisi ve adenomu ayrımı yapılmaktadır.Paratiroid adenomunun kesin tedavisi adenomun çıkartılmasıdır.Burada acil servise ateş yakınması ile başvuran,hiperparatiroidiye bağlı hiperkalsemi tespit edilen veparatiroid sintigrafisi ile tiroid lojunun sağ alt kesimindetek paratiroid adenomu saptanan 7 yaşındaki kız hastayıtartışacağız. KW - Çocukluk çağı KW - hiperkalsemi KW - paratiroid adenom N2 - Hyperparathyroidism is very rare disorder in childhood.Patients usually present with non-specific symptoms suchas nausea, vomiting, constipation, irritability, lethargy,headache, polyuria and polydipsia, and the diagnosis cantherefore be delayed. Diagnosis is made by clinical examinationand laboratory findings. Parathyroid hyperplasiaand adenomas can be differentiated with imaging methods.Definitive treatment of a parathyroid adenoma is removalof the adenoma. We discuss a 7 year-old girl whohad hypercalcemia due to hyperparathyroidism. She presentedat our emergency department because of fever andwas diagnosed with a solitary parathyroid adenoma locatedon the lower right side of the thyroid gland by usingparathyroid sintigraphy. CR - 1. Clerkin EP. Hyperparathyroidism. In: Cady B, Rossı RL (eds). Surgery of the Thyroid and Parathyroid Glands. 3rd ed. WB Saunders Company 1991; 243-53. CR - 2. Bringhurst FR, Demay MB Kronenberg HM. Hormones and disorders of mineral metabolism. In: Wilson JD, Foster DW, Kronenberg HM, Larsen PR (eds). Williams Textbook of Endocrinology. 9th ed. WB Saunders Company 1998; 1155-209. CR - 3. Habener J, Arnold A, Potts JT. Hyperparathyroidism. In: De Groot LJ (ed). Endocrinology. 3rd ed. WB Saunders Company 1995; 1044-66. CR - 4. Bilezikian JP, Silverberg SJ. Primary hyperparathyroidism: Still evolving? Journal of Bone and Mineral Research 1997; 12: 856-62. CR - 5. Kollars J, Zarroug AE, Heerden JV, Lteif A, Stavlo P, et al. Primary hyperparathyroidism in pediatric patients. Pediatrics 2005;115:974. CR - 6. George J, Acharya SV, Bandgar TR, Menon PS, Shah NS. Primary hyperparathyroidism in children and adolescents. Indian J Pediatr 2010;77:175-8. CR - 7. Lietman SA, Germain-Lee EL, Levine MA. Hypercalcemia in children and adolescents. Curr Opin Pediatr 2010;22:508-15. CR - 8. Dijkstra B, Healy C, Kelly LM, Mcdermott EW, Hill ADK, et al. Parathyroid localisation-current practice. J R Coll Surg Edinb 2002:47:599-607. UR - https://dergipark.org.tr/en/pub/aatd/article/443329 L1 - https://dergipark.org.tr/en/download/article-file/505876 ER -