title: [Primary hyperparathyroidism with parathyroid adenocarcinoma in a patient with Turner's syndrome complicated with thyrotoxicosis].
abstract: We report a rare case of Turner's syndrome coexisting with thyrotoxicosis and parathyroid adenocarcinoma resulting in hyperparathyroidism. This 45-year-old female patient presented with primary amenorrhea and poor development of secondary sexual characteristics. She also experienced repeated bone fractures, and body weight loss. Multiple risk factors of osteoporosis developed simultaneously in this patient. The interesting interactive relationship of hypercalcemia between thyrotoxicosis and primary hyperparathyroidism was noted. The best choice was surgery for both cases. Calcium supplements and various hormone replacements in addition to regular investigative radionuclide scans were required.
authors.affiliation: Department of Internal Medicine, Chang Gung Memorial Hospital, Taiwan, R.O.C.
authors.forename: J F
authors.initials: JF
authors.lastname: Chen
authors.forename: J Y
authors.initials: JY
authors.lastname: Chen
authors.forename: H S
authors.initials: HS
authors.lastname: Huang
mesh_terms: D000230:Adenocarcinoma / Q000150:complications*; D005260:Female; D006801:Humans; D006934:Hypercalcemia / Q000209:etiology; D006961:Hyperparathyroidism / Q000209:etiology*; D008875:Middle Aged; D010282:Parathyroid Neoplasms / Q000150:complications*; D013971:Thyrotoxicosis / Q000150:complications*; D014424:Turner Syndrome / Q000150:complications*