Journal of Clinical Case Reports

Ilgin Yildirim Simsir

Publications

• Case Report
  A Striking Finding during Intraoperative Jugular Vein Sampling in a Case of Parathyroid Adenoma with Low-Normal Serum Intact Parathyroid Hormone Levels
  Author(s): Ilgin Yildirim Simsir, Banu Pinar Sarer Yurekli, Hatice Ozisik, Murat Ozdemir, Mehmet Erdogan, Sevki Cetinkalp, Fusun Saygili L, Candeger Yilmaz, Yesim Ertan, Ozer Makay and Ahmet GokhanIlgin Yildirim Simsir, Banu Pinar Sarer Yurekli, Hatice Ozisik, Murat Ozdemir, Mehmet Erdogan, Sevki Cetinkalp, Fusun Saygili L, Candeger Yilmaz, Yesim Ertan, Ozer Makay and Ahmet Gokhan
  
  Aim: Primary hyperparathyroidism (PHP) is the most common cause of hypercalcemia based on outpatient clinic. The diagnosis of PHP is generally straightforward with high intact parathyroid hormone (iPTH) and hypercalcemia. But, PHP does not always exhibit those biochemical features. Less known phenotype of PHP is the hypercalcemia with normal level of iPTH. We report a case of parathyroid adenoma with low normal peripheral iPTH and high jugular PTH levels presenting as hypercalcemia. Our aim was to discuss the different mechanisms of such an entity with the guidance of the literature. Case: A thirty-six year old woman who has type 2 diabetes mellitus was admitted to the hospital with the diagnosis of acute pancreatitis. On laboratory examination serum calcium and iPTH levels were as follows: 10.6, 10.7, 10.9 mg/dL and 28.8, 33.3, 31.7 pg/mL, respectively. Twenty-four hour calcium excre.. Read More»
  DOI: 10.4172/2165-7920.1000817

  Abstract PDF