title: A Case of Solitary Kidney Atrophy Due to Primary Hyperparathyroidism: A Case Report.
abstract: Although primary hyperparathyroidism (PHPT) is asymptomatic in most patients, its main clinical manifestation is nephrolithiasis. In general, hypercalcemia would lead to unilateral renal stones, which may become bilateral over time. We present a rare case of a large unilateral asymptomatic ureteral stone in a patient with hypercalcemia secondary to PHPT, which eventually led to renal atrophy.The diagnosis of PHPT should be considered in patients with hypercalcemia and renal stones, as asymptomatic PHPT may result in a devastating renal outcome.
authors.affiliation: From the Division of general medicine, Department of Internal Medicine (Y-TL, J-SJ); and Division of nephrology, Department of Internal Medicine, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan (ROC) (Y-WF, M-HT).
authors.forename: Yu-Ting
authors.initials: YT
authors.lastname: Lin
authors.forename: Jiunn-Song
authors.initials: JS
authors.lastname: Jiang
authors.forename: Yu-Wei
authors.initials: YW
authors.lastname: Fang
authors.forename: Ming-Hsien
authors.initials: MH
authors.lastname: Tsai
mesh_terms: D001284:Atrophy / Q000473:pathology / Q000601:surgery; D003287:Contrast Media; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006869:Hydronephrosis / Q000175:diagnosis / Q000209:etiology; D006934:Hypercalcemia / Q000175:diagnosis / Q000209:etiology; D049950:Hyperparathyroidism, Primary / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D007668:Kidney / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods; D053040:Nephrolithiasis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D016105:Parathyroidectomy / Q000379:methods; D049268:Positron-Emission Tomography / Q000379:methods; D018570:Risk Assessment; D013965:Thyroidectomy / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
chemical_list: D003287:Contrast Media