Document Detail

Primary hyperparathyroidism presenting as intractable nausea and vomiting.
MedLine Citation:
PMID:  20890256     Owner:  NLM     Status:  MEDLINE    
Primary hyperparathyroidism (PHPT) is characterized by inappropriate secretion of parathyroid hormone (PTH). The proportion of PHPT with asymptomatic or nontypical symptoms is continuously increasing. PHPT typically affects elderly women, and it is characterized by few symptoms or complications. We explored a case of a 77-year-old woman with previously undiagnosed PHPT who presented first with palpitation and chest distress, and then had the symptoms of intractable nausea and vomiting. The initial laboratory investigations revealed normal calcium levels. Further examination showed serum calcium and PTH were elevated. In order to attach importance to PHPT in asymptomatic patients or patients with nontypical symptoms, related literature was reviewed. Finally the methods of treatment of PHPT in elderly patients were discussed.
Chen Ming-Kai; Zhou Ting
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Southern medical journal     Volume:  103     ISSN:  1541-8243     ISO Abbreviation:  South. Med. J.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-02     Completed Date:  2010-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1163-6     Citation Subset:  AIM; IM    
Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan City, HuBei Province, People's Republic of China.
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MeSH Terms
Cimetidine / therapeutic use
Histamine H2 Antagonists / therapeutic use
Hyperparathyroidism, Primary / complications*,  diagnosis,  drug therapy
Nausea / etiology*
Vomiting / etiology*
Reg. No./Substance:
0/Histamine H2 Antagonists; 51481-61-9/Cimetidine

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