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Primary hyperparathyroidism and Gougerot disease.

Toumader Bouziane1, Nadia Belmahi1, Hanan El Ouahabi1,2

  • 1Department of Endocrinology, Diabetology and Nutrition, University Hospital Hassan II, Fez, Morocco.

European Journal of Rheumatology
|April 17, 2018
PubMed
Summary

Primary hyperparathyroidism (PHPT), a condition of overactive parathyroid glands, caused severe symptoms in a patient with Gougerot disease. Treatment resolved the hypercalcemia and symptoms, but the link between the two conditions requires further study.

Keywords:
Gougerot diseasehypercalcemiaparathyroid hormoneprimary hyperparathyroidism

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Area of Science:

  • Endocrinology
  • Oncology
  • Nephrology

Background:

  • Primary hyperparathyroidism (PHPT) is a common endocrine disorder characterized by excessive parathyroid hormone (PTH) production, leading to hypercalcemia and various clinical manifestations.
  • Gougerot disease (Sjogren's syndrome) is an autoimmune condition that can affect multiple organs.

Purpose of the Study:

  • To report a rare case of PHPT in a patient with a history of Gougerot disease.
  • To describe the clinical presentation, diagnosis, and management of PHPT in this specific patient.
  • To discuss the potential association and underlying mechanisms between Gougerot disease and PHPT.

Main Methods:

  • Case report detailing clinical and laboratory findings.
  • Diagnostic confirmation of parathyroid adenoma via anatomopathology.
  • Treatment included renal replacement therapy, intravenous fluids, zolendronic acid, and subtotal parathyroidectomy.

Main Results:

  • A 54-year-old female with Gougerot disease presented with symptoms of hypercalcemia and elevated PTH levels.
  • Diagnosis of PHPT secondary to a parathyroid adenoma was confirmed.
  • Post-treatment, the patient showed significant clinical improvement with normalization of laboratory values.

Conclusions:

  • Successful management of PHPT in a patient with Gougerot disease was achieved through a combination of medical and surgical interventions.
  • The co-occurrence of Gougerot disease and PHPT in this case highlights a potential, though currently unexplained, association.
  • Further research is needed to elucidate the physiopathological links, if any, between these two conditions.