Kalça Ağrısı ile Klinik Bulgu Veren Bir Primer Hiperparatiroidi Olgusu

Year 2013, Volume: 14 Issue: 1, - , 01.04.2013

Aylin Karaman Özlem Solak

Abstract

Primary hyperparathyroidism is a disease which is caused with extreme parathormone secretion from parathyroid glands and is mostly related with parathyroid adenoma. This disease, which is usually asymptomatic can manifest clinical symptoms related to various systems and organs. Symptomatic cases may appear with weakness, fatigue, anorexia, polyuria, polydipsia and musculoskeletal system pains. In this case presentation, we are presenting a 72 year old female patient who had complaint of extreme pain in sholders and hips and difficulty in walking. The range motion of sholders and hips of the patient were found to be painful and restricted in the patient’s physical examination. Since an increase in parathormone was observed in laboratory examination, the parathyroid ultrasonography was performed and a parathyroid adenoma was detected. In this case presentation, we wanted to draw your attention to the fact that parathyroid pathology of the patients who have complaints of difficulty in walking and extreme arthralgia should also be taken into consideration

Keywords

Hip pain; difficulty in walking; primary hiperparathyroidism

Kalça Ağrısı ile Klinik Bulgu Veren Bir Primer Hiperparatiroidi Olgusu

Abstract

Primer hiperparatiroidizm, paratiroid glandlarından aşırı derecede parathormon salınımı ile giden ve en çok paratiroid adenomuna bağlı ortaya çıkan bir hastalıktır. Sıklıkla asemptomatik seyreden bu hastalık değişik sistem ve organları ilgilendiren bulgularla ortaya çıkabilir. Semptomatik vakalar ise halsizlik, yorgunluk, iştahsızlık, poliüri, polidipsi ve kas iskelet sistem ağrıları ile gelebilir. Biz bu olgu sunumunda her iki kalçada ve omuzda şiddetli ağrı ve yürüyememe şikayeti ile gelen 72 yaşında bayan hastamızı sunuyoruz. Hastamızın fizik mueyenesinde kalça ve omuz eklem hareket açıklıkları kısıtlı ve ağrılıydı. Laboratuvar tetkiklerinde parathormon yüksekliği olması üzerine çekilen paratiroid ultrasonografisinde paratiroid adenomu tespit edildi. Biz bu olgu sunumunda yürüyememe ve şiddetli eklem ağrıları ile gelen hastalarda paratiroid patolojilerini de düşünmek gerektiğini vurgulamak istedik

Keywords

Kalça ağrısı; yürümede güçlük; primer hiperparatiroidizm

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