Çocukluk Çağında Hiperkalseminin Nadir Bir Nedeni Paratiroid Adenomu

Öz

Hiperparatiroidizm çocukluk çağında çok nadir görülen bir hastalıktır. Genellikle bulantı, kusma, kabızlık, irritabilite, letarji, başağrısı, poliüri ve polidipsi gibi özgül olmayan semptomlarla başvurabilmekte ve bu nedenle tanı alması gecikebilmektedir. Tanı klinik inceleme ve laboratuvar

bulguları ile konulur. Görüntüleme yöntemleri ile paratiroid hiperplazisi ve adenomu ayrımı yapılmaktadır.

Paratiroid adenomunun kesin tedavisi adenomun çıkartılmasıdır. Burada acil servise ateş yakınması ile başvuran, hiperparatiroidiye bağlı hiperkalsemi tespit edilen ve paratiroid sintigrafisi ile tiroid lojunun sağ alt kesiminde tek paratiroid adenomu saptanan 7 yaşındaki kız hastayı

tartışacağız.

Anahtar Kelimeler

• Çocukluk çağı,hiperkalsemi,paratiroid adenom

A Rare Cause of Childhood Hypercalcemia: Parathyroid Adenoma

Abstract

Hyperparathyroidism is very rare disorder in childhood. Patients usually present with non-specific symptoms such as nausea, vomiting, constipation, irritability, lethargy, headache, polyuria and polydipsia, and the diagnosis can therefore be delayed. Diagnosis is made by clinical examination

and laboratory findings. Parathyroid hyperplasia and adenomas can be differentiated with imaging methods. Definitive treatment of a parathyroid adenoma is removal of the adenoma. We discuss a 7 year-old girl who had hypercalcemia due to hyperparathyroidism. She presented at our emergency department because of fever and was diagnosed with a solitary parathyroid adenoma located

on the lower right side of the thyroid gland by using parathyroid sintigraphy. 

Keywords

• Childhood,hypercalcemia,parathyroid adenoma

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