Ayhan AŞKIN, İbrahim BİLİR, İlker ŞENGÜL, Aylin ALTUN, Aliye TOSUN

Ankilozan spondiliti taklit eden gecikmiş cerrahi sonrası hipoparatiroidizm: bir olgu sunumu

Hipoparatiroidizm, paratiroid hormonu yetersizliği, azalmış serum kalsiyum ve artmış serum fosfor seviyeleri ile karakterize nadir görülen bir klinik durumdur. Boyun cerrahisi erişkinlerde edinilmiş hipoparatiroidizmin en yaygın nedenidir. Ameliyat sonrası hipoparatiroidizm tiroid bezi ameliyatlarında önemli komplikasyonlardan biri olarak bildirilir ve zamanında teşhis edilmezse ciddi morbidite ile ilişkili olabilir. Hipoparatiroidizmin klinik belirtileri değişkendir ve hemen hemen tüm organ sistemlerini etkileyebilir. Genellikle hipokalsemi ile ilişkili semptomlarla kendini gösterir. En yaygın semptom, el, ayak ve ağız çevresindeki paresteziler ve kas spazmlarını içeren nöromüsküler irritabilitedir. Nadiren, bazı vakalarda uzun vadede inflamatuvar bel ve boyun ağrısı, yaygın ağrı, duruş bozuklukları, kas güçsüzlüğü veya vertebral hareket açıklığında kısıtlanma görülebilir. Bazı hastalara spondiloartropati tanısı konabilir ve gereksiz tedaviler uygulanabilir. Bu olgu sunumunda, daha önce ankilozan spondilit tanısı konan ve daha ileri tedavi için kliniklerimize sevk edilen, gecikmiş cerrahi sonrası hipoparatiroidizmi olan 55 yaşında bir erkek hastanın klinik bulguları sunulmuştur. .

Delayed post-surgical hypoparathyroidism mimicking ankylosing spondylitis: a case report

Hypoparathyroidism is a rare clinical condition characterized by parathyroid hormone insufficiency, decreased serum calcium, and increased serum phosphorus levels. Neck surgery is the most common cause of acquired hypoparathyroidism in adults. Post-surgical hypoparathyroidism is reported as one of the important complications in thyroid gland surgeries and if not diagnosed timely, may be associated with severe morbidity. The clinical manifestations of hypoparathyroidism are variable and may affect almost all organ systems. It is usually manifested by symptoms associated with hypocalcemia. The most common symptom is neuromuscular irritability, which includes paresthesias and muscle spasms in hands, feet, and around mouth. Rarely, some cases may present with inflammatory low back and neck pain, widespread pain, posture disorders, muscle weakness or, limited vertebral range of motion in the long term. Some patients may be misdiagnosed as spondyloarthropathy and may receive unnecessary treatments. In this case report, we present the clinical findings of a 55-year-old male patient with delayed post-surgical hypoparathyroidism who had been previously diagnosed ankylosing spondylitis and referred to our clinics for further treatment.

Keywords:

ankylosing spondilitis, hypoparathyroidism, hypocalcemia, hyperphosphatemia, spondyloarthropathy,

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