Primary hyperparathyroidism as a secondary cause of depression.
A 27-year-old woman was initially diagnosed and treated for depression with suicide ideation. Thirteen months later, kidney stones, an elevated parathyroid hormone, and elevated calcium levels led to a diagnosis of primary hyperparathyroidism. The patient was treated for hyperparathyroidism by resection of the superior right parathyroid gland. When the calcium levels were regulated, the patient's moods, concentration, and memory were back to baseline.
Hurst
Katherine
K
Cedar Rapids Medical Education Foundation, Cedar Rapids, IA, USA. KatherineLHurst@aol.com
D000328:Adult; D014151:Anti-Anxiety Agents / Q000627:therapeutic use; D018687:Antidepressive Agents, Second-Generation / Q000627:therapeutic use; D002118:Calcium / Q000378:metabolism; D003866:Depressive Disorder / Q000188:drug therapy / Q000209:etiology* / Q000378:metabolism; D005260:Female; D006801:Humans; D049950:Hyperparathyroidism, Primary / Q000523:psychology* / Q000601:surgery; D007669:Kidney Calculi / Q000378:metabolism; D016105:Parathyroidectomy; D059020:Suicidal Ideation; D016896:Treatment Outcome
D014151:Anti-Anxiety Agents; D018687:Antidepressive Agents, Second-Generation; D002118:Calcium