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Previous Volume 346:694-700 February 28, 2002 Number 9 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 47-year-old woman was admitted to the hospital because of recurrent hypercalcemia.

The patient had been admitted 14 years earlier because of hyperparathyroidism, with an increased level of calcium (12.3 mg per deciliter [3.1 mmol per liter]), markedly increased levels of alkaline phosphatase and parathyroid hormone (293 pg per milliliter; normal range, 10 to 60), and a low phosphorus level (1.8 mg per deciliter [0.58 mmol per liter]). Physical examination revealed a nodule in the left lower pole of the thyroid gland.

The patient worked as a machinist. At 20 years of age she had had urolithiasis and passed a . . . [Full Text of this Article]

Differential Diagnosis

Insular Thyroid Carcinoma

Parathyroid Hyperplasia

Late Recurrence of Hypercalcemia

Clinical Diagnosis

Dr. Arthur E. Broadus's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References

This article has been cited by other articles:

• Demay, M. B., Rosenthal, D. I., Deshpande, V. (2008). Case 16-2008 -- A 46-Year-Old Woman with Bone Pain. NEJM 358: 2266-2274 [Full Text]