中华骨质疏松和骨矿盐疾病杂志2024,Vol.17Issue(3):240-245,6.DOI:10.3969/j.issn.1674-2591.2024.03.006
原发性甲状旁腺功能亢进症合并意义未明单克隆丙种球蛋白血症一例报告及文献复习
Primary hyperparathyroidism with monoclonal gammopathy of undetermined significance:a case report and literature review
苏静 1李志辉 2卢春燕3
作者信息
- 1. 610041 成都,四川大学华西医院内分泌代谢科||618200 四川绵竹,四川省绵竹市人民医院内分泌代谢科
- 2. 610041 成都,四川大学华西医院甲状腺外科
- 3. 610041 成都,四川大学华西医院内分泌代谢科
- 折叠
摘要
Abstract
Primary hyperparathyroidism(PHPT)is a common endocrine disease,but PHPT complicated with monoclonal gammopathy of undetermined significance(MGUS)is rarely reported.In this article,a case of a 55-year-old woman presented with progressively aggravated skeletal pain was reported.Laboratory examination revealed high parathyroid hormone(PTH),hypercalcemia and hypophosphoremia.Contrast-enhanced ultrasonography and radionuclide imaging of the parathyroid gland revealed solid nodulations below the right inferior pole of the thyroid gland.Postoperative pathological diagnosis was parathyroid adenoma.M protein of IgA λ was detected by immunofixation electrophoresis.Com-bined with bone marrow smear,monoclonal gammopathy of undetermined significance(MGUS)was diagnosed.关键词
原发性甲状旁腺功能亢进症/意义未明单克隆丙种球蛋白血症/甲状旁腺腺瘤Key words
primary hyperparathyroidism/monoclonal gammopathy of undetermined significance/parathy-roid adenoma分类
医药卫生引用本文复制引用
苏静,李志辉,卢春燕..原发性甲状旁腺功能亢进症合并意义未明单克隆丙种球蛋白血症一例报告及文献复习[J].中华骨质疏松和骨矿盐疾病杂志,2024,17(3):240-245,6.