[Neuromuscular forms of hyperparathyroidism. Apropos of 2 cases].
The authors report two cases of hyperparathyroidism presenting mainly with muscular weakness. In the first case, a 74 year old woman had become completely bed-ridden and muscular recovery was obtained in 18 months. In the second case, a 24 year old sportsman had to stop all competition. Hypercalcaemia was suspected after finding radiological muscular calcification; the patient was able to start his sporting activities again two months after excision of the adenoma. After a review of the literature the authors discuss the principal physiopathogenic mechanisms; a direct action of parathormone is the probable cause but this has not been proved. Muscular forms of hyperparathyroidism are rare but this "pseudo-myopathic" presentation justifies the systematic exclusion of hyperparathyroidism in all cases of unexplained muscle weakness.
Verges
B
B
Service de Médecine Interne, Groupe Hospitalier Pitié-Salpêtrière, Paris.
Wechsler
B
B
Brunet
P
P
Robin
P M
PM
Chigot
J P
JP
Godeau
P
P
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000150:complications* / Q000378:metabolism / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D009468:Neuromuscular Diseases / Q000209:etiology* / Q000378:metabolism / Q000503:physiopathology
Formes neuromusculaires des hyperparathyroïdies. A propos de 2 cas.