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[The parathyrotoxic crisis - a surgical emergency]
H Lauschke1, M Kaminski, H Stratmann
1Klinik und Poliklinik für Allgemein-, Visceral-, Thorax- und Gefässchirurgie (Direktor: Prof. Dr. A. Hirner), Rheinische Friedrich-Wilhelms-Universität Bonn.
Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|February 9, 2000
Summary
Hypercalcemic crisis, a rare but life-threatening condition, results from chronic hyperparathyroidism exacerbation. Prompt diagnosis and treatment, including rehydration and potentially surgery, are crucial for managing this severe calcium imbalance.
Area of Science:
- Endocrinology
- Nephrology
Background:
- Hypercalcemic crisis is a rare, life-threatening exacerbation of chronic hyperparathyroidism.
- It occurs when conditions disrupt calcium homeostasis, including malignancy, primary/tertiary hyperparathyroidism, and vitamin D/calcium toxicity, especially in renal insufficiency.
Purpose of the Study:
- To present the clinical course of five patients experiencing acute hypercalcemic crisis.
- To discuss diagnostic procedures and surgical treatment principles for hypercalcemic crisis in light of current literature.
Main Methods:
- Case series presentation of five patients with acute hypercalcemic crisis.
- Literature review on diagnostic and surgical management strategies.
Main Results:
- Hypercalcemic crisis is defined by serum calcium > 4 mmol/l and parathormone > 90 pmol/l.
- Symptoms include nausea, vomiting, polyuria, dehydration, hypotonia, lethargy, hallucinations, and coma.
- Elevated serum calcium is the primary diagnostic indicator.
Conclusions:
- Emergency treatment involves rehydration and diuresis stimulation.
- Urgent surgical intervention is indicated if conservative measures fail to resolve the crisis.