Işılay KALAN SARI, Ramazan COŞAR, Şenay ARIKAN DURMAZ

Bir Graves Hastasında Primer Hiperparatiroidiye Bağlı Hiperkalsemi

Hipertiroidizm, tiroid bezi tarafından aşırı tiroid hormonu üretimi ile olan ilişkili hipermetabolik bir durumdur. Tiroid hormonlarının kemik ve kalsiyum metabolizması üzerine önemli etkileri vardır. Yaklaşık beş hastadan birinde hipertiroidiye bağlı hafif ila orta derecede hiperkalsemi bildirilmiştir. Hipertiroidiye sekonder hiperkalsemiye azalmış ya da subnormal parathormon seviyeleri eşlik eder. Hipertiroidizm ile hiperparatiroidizm birlikteliği nadir olarak görülmektedir. Bununla birlikte, hipertiroidi hastalarında ötiroid duruma ulaştıktan sonra hiperkalseminin devam etmesi durumunda paratiroid bezlerinin ayrıntılı olarak değerlendirilmesi gerekir.

Anahtar Kelimeler:

Hipertiroidizm, hiperparatiroidizm, hiperkalsemi, Graves hastalığı

HYPERCALCEMIA DUE TO PRIMARY HYPERPARATHYROIDISM IN A PATIENT WITH GRAVES' DISEASE

Hyperthyroidism is a hypermetabolic condition associated with excessive production of thyroid hormones by the thyroid gland. Thyroid hormones play an important role in bone and calcium metabolism. Mild to moderate hypercalcemia due to hyperthyroidism has been reported in approximately one in five patients. Hypercalcemia due to hyperthyroidism is associated with decreased or subnormal parathyroid hormone levels. The co-occurrence of hyperthyroidism and primary hyperparathyroidism is rare. However, in patients with hyperthyroidism, it is necessary to evaluate the parathyroid glands if hypercalcemia persists after an euthyroid state is reached.

Keywords:

hyperthyroidism, hyperparathyroidism, hypercalcemia, Graves,

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