Case Report
BibTex RIS Cite

Ankilozan spondiliti taklit eden gecikmiş cerrahi sonrası hipoparatiroidizm: bir olgu sunumu

Year 2020, Volume: 45 Issue: 4, 1829 - 1833, 27.12.2020

Abstract

Hipoparatiroidizm, paratiroid hormonu yetersizliği, azalmış serum kalsiyum ve artmış serum fosfor seviyeleri ile karakterize nadir görülen bir klinik durumdur. Boyun cerrahisi erişkinlerde edinilmiş hipoparatiroidizmin en yaygın nedenidir. Ameliyat sonrası hipoparatiroidizm tiroid bezi ameliyatlarında önemli komplikasyonlardan biri olarak bildirilir ve zamanında teşhis edilmezse ciddi morbidite ile ilişkili olabilir. Hipoparatiroidizmin klinik belirtileri değişkendir ve hemen hemen tüm organ sistemlerini etkileyebilir. Genellikle hipokalsemi ile ilişkili semptomlarla kendini gösterir. En yaygın semptom, el, ayak ve ağız çevresindeki paresteziler ve kas spazmlarını içeren nöromüsküler irritabilitedir. Nadiren, bazı vakalarda uzun vadede inflamatuvar bel ve boyun ağrısı, yaygın ağrı, duruş bozuklukları, kas güçsüzlüğü veya vertebral hareket açıklığında kısıtlanma görülebilir. Bazı hastalara spondiloartropati tanısı konabilir ve gereksiz tedaviler uygulanabilir. Bu olgu sunumunda, daha önce ankilozan spondilit tanısı konan ve daha ileri tedavi için kliniklerimize sevk edilen, gecikmiş cerrahi sonrası hipoparatiroidizmi olan 55 yaşında bir erkek hastanın klinik bulguları sunulmuştur. .

Supporting Institution

Yok

Project Number

Yok

Thanks

Yok

References

  • Mannstadt M, Bilezikian JP, Thakker RV, Hannan FM, Clarke BL, Rejnmark L, et al. Hypoparathyroidism. Nat Rev Dis Primers 2017;3:17080.
  • Al-Azem H, Khan AA. Hypoparathyroidism. Best Pract Res Clin Endocrinol Metab 2012;26:517-22.
  • Cusano NE, Bilezikian JP. Signs and Symptoms of Hypoparathyroidism. Endocrinol Metab Clin North Am 2018;47:759-70.
  • Underbjerg L, Sikjaer T, Mosekilde L, Rejnmark L. Postsurgical hypoparathyroidism--risk of fractures, psychiatric diseases, cancer, cataract, and infections. J Bone Miner Res 2014;29: 2504-10.
  • Goswami R, Ray D, Sharma R, Tomar N, Gupta R, Gupta N, et al. Presence of spondyloarthropathy and its clinical profile in patients with hypoparathyroidism. Clin Endocrinol (Oxf) 2008;68:258-63.
  • Illeez Memetoglu O, Unlu Ozkan F, Taraktas A, Aktas I, Nazikoglu C. Idiopathic Hypoparathyroidism Mimicking Ankylosing Spondylitis: A Case Report. Acta Reumatol Port 2016;41:82-5.
  • Kajitani TR, Silva RV, Bonfá E, Pereira RM. Hypoparathyroidism mimicking ankylosing spondylitis and myopathy: a case report. Clinics (Sao Paulo) 2011;66:1287-90.
  • John DR, Suthar PP. Radiological Features of Long-Standing Hypoparathyroidism. Pol J Radiol 2016;81:42-5.
  • Sivrioglu K, Ozcakir S, Kamay O. Hypoparathyroidism: a rare cause of spondyloarthropathy. Scand J Rheumatol 2006;35:494-5.
  • Korkmaz C, Yaşar Ş, Binboğa A. Hypoparathyroidism simulating ankylosing spondylitis. Joint Bone Spine 2005;72(1):89-91.
  • Türkoğlu S, Toprak U, Aydoğan Ç, Kutlu ÖT. A rare case of spondyloarthropathy: Iatrogenic hypoparathyroidism. Turk J Phys Med Rehabil 2020;66:92-5.
  • Bergenfelz A, Nordenström E, Almquist M. Morbidity in patients with permanent hypoparathyroidism after total thyroidectomy. Surgery 2020;167:124-8.
  • Jakkani RK, Sureka J, Mathew J. Spondyloarthropathy occurring in long-standing idiopathic hypoparathyroidism. Radiol Case Rep 2015;6(4):545.
  • Zabihiyeganeh M, Jahed SA, Akbari H. Longstanding hypoparathyroidism in a fifty-two-year-old woman misdiagnosed as spondyloarthropathy. Iran Red Crescent Med J 2014;16(12):e22489.
  • Jiang L, Dai X, Liu J, Ma L, Yu F. Hypoparathyroidism in a patient with systemic lupus erythematosus coexisted with ankylosing spondylitis: a case report and review of literature. Joint Bone Spine 2010;77:608-10.

Delayed post-surgical hypoparathyroidism mimicking ankylosing spondylitis: a case report

Year 2020, Volume: 45 Issue: 4, 1829 - 1833, 27.12.2020

Abstract

Hypoparathyroidism is a rare clinical condition characterized by parathyroid hormone insufficiency, decreased serum calcium, and increased serum phosphorus levels. Neck surgery is the most common cause of acquired hypoparathyroidism in adults. Post-surgical hypoparathyroidism is reported as one of the important complications in thyroid gland surgeries and if not diagnosed timely, may be associated with severe morbidity. The clinical manifestations of hypoparathyroidism are variable and may affect almost all organ systems. It is usually manifested by symptoms associated with hypocalcemia. The most common symptom is neuromuscular irritability, which includes paresthesias and muscle spasms in hands, feet, and around mouth. Rarely, some cases may present with inflammatory low back and neck pain, widespread pain, posture disorders, muscle weakness or, limited vertebral range of motion in the long term. Some patients may be misdiagnosed as spondyloarthropathy and may receive unnecessary treatments. In this case report, we present the clinical findings of a 55-year-old male patient with delayed post-surgical hypoparathyroidism who had been previously diagnosed ankylosing spondylitis and referred to our clinics for further treatment.

Project Number

Yok

References

  • Mannstadt M, Bilezikian JP, Thakker RV, Hannan FM, Clarke BL, Rejnmark L, et al. Hypoparathyroidism. Nat Rev Dis Primers 2017;3:17080.
  • Al-Azem H, Khan AA. Hypoparathyroidism. Best Pract Res Clin Endocrinol Metab 2012;26:517-22.
  • Cusano NE, Bilezikian JP. Signs and Symptoms of Hypoparathyroidism. Endocrinol Metab Clin North Am 2018;47:759-70.
  • Underbjerg L, Sikjaer T, Mosekilde L, Rejnmark L. Postsurgical hypoparathyroidism--risk of fractures, psychiatric diseases, cancer, cataract, and infections. J Bone Miner Res 2014;29: 2504-10.
  • Goswami R, Ray D, Sharma R, Tomar N, Gupta R, Gupta N, et al. Presence of spondyloarthropathy and its clinical profile in patients with hypoparathyroidism. Clin Endocrinol (Oxf) 2008;68:258-63.
  • Illeez Memetoglu O, Unlu Ozkan F, Taraktas A, Aktas I, Nazikoglu C. Idiopathic Hypoparathyroidism Mimicking Ankylosing Spondylitis: A Case Report. Acta Reumatol Port 2016;41:82-5.
  • Kajitani TR, Silva RV, Bonfá E, Pereira RM. Hypoparathyroidism mimicking ankylosing spondylitis and myopathy: a case report. Clinics (Sao Paulo) 2011;66:1287-90.
  • John DR, Suthar PP. Radiological Features of Long-Standing Hypoparathyroidism. Pol J Radiol 2016;81:42-5.
  • Sivrioglu K, Ozcakir S, Kamay O. Hypoparathyroidism: a rare cause of spondyloarthropathy. Scand J Rheumatol 2006;35:494-5.
  • Korkmaz C, Yaşar Ş, Binboğa A. Hypoparathyroidism simulating ankylosing spondylitis. Joint Bone Spine 2005;72(1):89-91.
  • Türkoğlu S, Toprak U, Aydoğan Ç, Kutlu ÖT. A rare case of spondyloarthropathy: Iatrogenic hypoparathyroidism. Turk J Phys Med Rehabil 2020;66:92-5.
  • Bergenfelz A, Nordenström E, Almquist M. Morbidity in patients with permanent hypoparathyroidism after total thyroidectomy. Surgery 2020;167:124-8.
  • Jakkani RK, Sureka J, Mathew J. Spondyloarthropathy occurring in long-standing idiopathic hypoparathyroidism. Radiol Case Rep 2015;6(4):545.
  • Zabihiyeganeh M, Jahed SA, Akbari H. Longstanding hypoparathyroidism in a fifty-two-year-old woman misdiagnosed as spondyloarthropathy. Iran Red Crescent Med J 2014;16(12):e22489.
  • Jiang L, Dai X, Liu J, Ma L, Yu F. Hypoparathyroidism in a patient with systemic lupus erythematosus coexisted with ankylosing spondylitis: a case report and review of literature. Joint Bone Spine 2010;77:608-10.
There are 15 citations in total.

Details

Primary Language English
Subjects Rheumatology and Arthritis
Journal Section Case Report
Authors

Ayhan Aşkın 0000-0001-9445-4430

İbrahim Bilir This is me 0000-0002-7170-983X

İlker Şengül 0000-0002-7675-7814

Aylin Altun This is me 0000-0002-9031-1034

Aliye Tosun 0000-0003-2827-6255

Project Number Yok
Publication Date December 27, 2020
Acceptance Date August 18, 2020
Published in Issue Year 2020 Volume: 45 Issue: 4

Cite

MLA Aşkın, Ayhan et al. “Delayed Post-Surgical Hypoparathyroidism Mimicking Ankylosing Spondylitis: A Case Report”. Cukurova Medical Journal, vol. 45, no. 4, 2020, pp. 1829-33, doi:10.17826/cumj.743606.