Case 7-2002

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Abstract
Presentation of CaseA 47-year-old woman was admitted to the hospital because of recurrent hypercalcemia.The patient had been admitted 14 years earlier because of hyperparathyroidism, with an increased level of calcium (12.3 mg per deciliter [3.1 mmol per liter]), markedly increased levels of alkaline phosphatase and parathyroid hormone (293 pg per milliliter; normal range, 10 to 60), and a low phosphorus level (1.8 mg per deciliter [0.58 mmol per liter]). Physical examination revealed a nodule in the left lower pole of the thyroid gland.The patient worked as a machinist. At 20 years of age she had had urolithiasis . . .

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