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Problems of Endocrinology

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On the difficulties in the diagnosis of hyperparathyroid crisis

https://doi.org/10.14341/probl11473

Abstract

Hyperparathyroid (hypercalcemic) crisis develops with adenomas of the parathyroid glands or their hyperplasia, malignant non-endocrine tumors that secrete parathyroid hormone. The calcium level at which a crisis develops can be different. The clinical picture of the crisis is due to calcium intoxication and other symptoms and electrolyte disorders associated with it. It is very variable and therefore there are diagnostic difficulties. A differential diagnosis in this situation has to be carried out with comas of a different etiology, which have similar symptoms, with diseases of the cardiovascular system, respiratory system, gastrointestinal tract, kidney pathology and conditions caused by diseases of the neuropsychic sphere.

About the Authors

A. V. Tolkachev

Novodvinsk Central city hospital; Arkhangelsk state medical Academy


Russian Federation


N. V. Kolyaskina

Novodvinsk Central city hospital; Arkhangelsk state medical Academy


Russian Federation


T. A. Zykova

Novodvinsk Central city hospital; Arkhangelsk state medical Academy


Russian Federation


References

1. Калинин А. П., Калюжный И. Т, Нурманбетов Д. Н. // Неотложная эндоиринльргuя. — Фрунзе, 1987. — С. 30—46.

2. Клиническая эндокринология: Руководство / Под ред. Н. Т. Старковой. — М., 1991. — С. 175—176.


Review

For citations:


Tolkachev A.V., Kolyaskina N.V., Zykova T.A. On the difficulties in the diagnosis of hyperparathyroid crisis. Problems of Endocrinology. 1995;41(5):22-23. (In Russ.) https://doi.org/10.14341/probl11473

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ISSN 0375-9660 (Print)
ISSN 2308-1430 (Online)