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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 335:1213-1220 October 17, 1996 Number 16
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Case 32-1996— A 44-Year-Old Woman with a Long History of Intermittent Hypercalcemia, a New Neck Mass, and Hypercalcemic Crisis
Edward M. Brown, and Austin L. Vickery

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Presentation of Case

A 44-year-old woman was admitted to the hospital because of hyperparathyroidism with a hypercalcemic crisis.

At the age of 29 years, the patient had been told she had a calcium level of 11.0 mg per deciliter (2.75 mmol per liter). No measurement of parathyroid hormone was performed. During the succeeding three years the calcium level ranged between 10.7 and 11.0 mg per deciliter (2.67 and 2.75 mmol per liter) on three occasions; the parathyroid hormone level was 183 and 121 µl-eq per milliliter on two of those occasions (normal range, 10 to 180). Calcium levels measured 11, 5, and 2 . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Edward M. Brown's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References



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