title: [Chronic musculoskeletal pain syndrome in primary hyperparathyroidism].
abstract: Chronic somatic pain disorders with somatic and mental factors (ICD-10: F45.41) are common among psychosomatic patients. In the present case, due to the close temporal association with a trauma and the subsequent development of symptoms including depressive symptoms, a chronic pain disorder with a relevant somatoform component was suspected. However, after a period of several months without significant somatic findings, targeted diagnostic approaches resulted in the diagnoses of primary hyperparathyroidism and a papillary thyroid carcinoma. Surgical therapy resulted in an almost complete decline of symptoms within a short period of time.
authors.affiliation: Medizinische Klinik für Innere Medizin und Dermatologie, Schwerpunkt Psychosomatik, Charité-Universitätsmedizin Berlin, Charitéplatz 1, Berlin, Germany. andreas.stengel@charite.de
authors.forename: A
authors.initials: A
authors.lastname: Stengel
authors.forename: E
authors.initials: E
authors.lastname: Winter
authors.forename: C
authors.initials: C
authors.lastname: West
authors.forename: U
authors.initials: U
authors.lastname: Elbelt
authors.forename: T
authors.initials: T
authors.lastname: Hofmann
authors.forename: B F
authors.initials: BF
authors.lastname: Klapp
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis* / Q000523:psychology*; D000236:Adenoma / Q000175:diagnosis* / Q000473:pathology / Q000523:psychology* / Q000601:surgery; D000328:Adult; D002118:Calcium / Q000097:blood; D003299:Cooperative Behavior; D003951:Diagnostic Errors; D006801:Humans; D049950:Hyperparathyroidism, Primary / Q000175:diagnosis* / Q000473:pathology / Q000523:psychology* / Q000601:surgery; D033183:Interdisciplinary Communication; D008197:Lymph Node Excision; D008297:Male; D059352:Musculoskeletal Pain / Q000175:diagnosis* / Q000473:pathology / Q000523:psychology* / Q000601:surgery; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis* / Q000473:pathology / Q000523:psychology* / Q000601:surgery; D010147:Pain Measurement; D010281:Parathyroid Hormone / Q000097:blood; D010282:Parathyroid Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000523:psychology* / Q000601:surgery; D010348:Patient Care Team; D010552:Personality Assessment; D011602:Psychophysiologic Disorders / Q000175:diagnosis* / Q000473:pathology / Q000523:psychology* / Q000601:surgery; D011877:Radionuclide Imaging; D013961:Thyroid Gland / Q000473:pathology; D013964:Thyroid Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000523:psychology* / Q000601:surgery; D013965:Thyroidectomy; D014463:Ultrasonography
chemical_list: D010281:Parathyroid Hormone; D002118:Calcium