CO-EXISTING MYXEDEMA AND HYPERPARATHYROIDISM: CASE REPORT

Publisher Website
Google Scholar
Abstract
THE following case report is presented because in the first place it possesses the unusual feature of thyroid and parathyroid disease occurring in the same patient. In the second place it demonstrates many medical problems which emphasize the importance of considering hyperparathyroidism in syndromes with gastrointestinal symptoms. Finally, it suggests a psychosomatic problem: the relationship of alterations in calcium and phosphorus metabolism to the development of a major psychosis. CASE REPORT The patient was a white female who came under observation for the first time in 1936 at the age of 50. Her complaints at that time were shortness of breath and palpitation of ten years' duration. There had been no recent increase in the severity of her symptoms but she was known to have had cardiac enlargement for ten years and had been previously regarded as suffering from arteriosclerotic heart disease. Her past history was a full one. At the age of seven she had malaria. She was treated for tuberculosis in adolescence and for a possible recurrence at the age of twenty-five because of night sweats and chest pain. A tonsillectomy had been performed in childhood. A hemorrhoidectomy was done in 1913. There had been a salpingo-oophorectomy in 1918. A lipoma of the breast was removed in 1924 and a pelvic repair with amputation of the cervix was performed in 1936. Menopausal symptoms began at the age of 35 but menstruation continued until the age of 40. She had several miscarriages, her first and third pregnancies ending spontaneously at 3½ months.

This publication has 1 reference indexed in Scilit: