Chonnam Med J.  2012 Aug;48(2):128-129. 10.4068/cmj.2012.48.2.128.

Hypercalcemia in a Patient with Polycythemia Vera

• Bae EH
• Kim HS
• Kim MJ
• Kang YU
• Kim YH
• Kim CS
• Choi JS
• Ma SK
• Kim SW

• KMID: 2172215
• DOI: http://doi.org/10.4068/cmj.2012.48.2.128

Abstract

A 59-year-old female with diabetes mellitus presented with hypercalcemia and polycythemia. Her serum calcium and intact parathyroid hormone (iPTH) levels were increased, and Tc-99m sesta-MIBI scanning showed hot uptake in the lower portion of the left thyroid lobe. After parathyroidectomy, her calcium, iPTH, and polycythemia were normalized. In conclusion, the differential diagnosis of polycythemia and hypercalcemia should also include the possibility of a parathyroid tumor in addition to other neoplasms.

Keyword

Hypercalcemia; Polycythemia vera; Parathyroid tumor

MeSH Terms

Calcium
Diabetes Mellitus
Diagnosis, Differential
Female
Humans
Hypercalcemia
Middle Aged
Parathyroid Hormone
Parathyroidectomy
Polycythemia
Polycythemia Vera
Thyroid Gland
Calcium
Parathyroid Hormone

Figure

• 

  FIG. 1 Tc-99m sesta-MIBI scanning.

• 

  FIG. 2 Parathyroid adenoma. The tumor is hypercellular, homogeneous, and well vascularized. ×200.

Reference

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