title: Parathyroid crisis as first manifestation of primary hyperparathyroidism.
abstract: We report the case of a 61-year-old woman who suffered a parathyroid crisis due to a parathyroid adenoma. The patient presented with the typical clinical symptoms of hypercalcemia. Ca(+2) and PTH were markedly increased. Initially, she was treated conservatively until Ca(+2) returned to normal levels. Then, she underwent surgical excision of a newly diagnosed parathyroid adenoma. Parathyroid crisis (PC), also known as parathyroid storm or acute primary hyperparathyroidism, is a rare and serious complication of primary hyperparathyroidism (PH). Fewer than 200 cases have been described in the literature. Prognosis is poor: mortality is 100% in non-operable cases and 20% in cases in which parathyroidectomy is performed. We emphasize the importance of early diagnosis and aggressive treatment.
authors.affiliation: 1st Propedeutic Department of Internal Medicine, AHEPA University, Aristotle University of Thessaloniki, Greece.
authors.forename: G
authors.initials: G
authors.lastname: Ntaios
authors.forename: C
authors.initials: C
authors.lastname: Savopoulos
authors.forename: A
authors.initials: A
authors.lastname: Chatzinikolaou
authors.forename: G
authors.initials: G
authors.lastname: Kaiafa
authors.forename: A
authors.initials: A
authors.lastname: Hatzitolios
authors.forename: D
authors.initials: D
authors.lastname: Karamitsos