Yi-Yin Huang a, Chin-Chung Chen b, Yung-Kang Wu c
aDivision of Endocrinology and Metabolism, Department of Internal Medicine, Buddhist Tzu Chi General Hospital, Taichung Branch, Taiwan
bDivision of Nephrology, Department of Internal Medicine, Buddhist Tzu Chi General Hospital, Taichung Branch, Taiwan
cDepartment of Surgery, Buddhist Tzu Chi General Hospital, Taichung Branch, Taiwan
Abstract
Hypercalcemia may occur in hyperthyroid patients due to overactive bone absorption. The coexistence of hyperthyroidism and hyperparathyroidism is highly unusual. We herein report a 37-year-old woman who suffered from urolithiasis and hyperthyroidism. Further inquiry revealed that the patient also had parathyroid adenoma. She was successfully treated for euthyroidism with methimazole followed by subtotal thyroidectomy and parathyroidectomy for the hyperparathyroidism. We also discuss the possible conditions other than hyperthyroidism that may result in hypercal-cemia.
Keywords
Graves' disease; Hypercalcemia; Hyperparathyroidism; Hyperthyroidism; Parathyroid adenoma