Hypoparathyroidism

被引:396
作者
Shoback, Dolores [1 ]
机构
[1] Univ Calif San Francisco, Dept Vet Affairs Med Ctr, Endocrine Res Unit, San Francisco, CA 94121 USA
关键词
D O I
10.1056/NEJMcp0803050
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 58-year-old man is found on laboratory testing to have a serum calcium level of 6.0 mg per deciliter (normal range, 8.5 to 10.5), an albumin level of 3.9 g per deciliter, and a phosphorus level of 6.0 mg per deciliter (normal range, 2.5 to 4.5). His medical history is notable only for long-standing hearing difficulties. He reports no history of neck surgery and is asymptomatic. His ionized calcium level is 0.75 mmol per liter (normal range, 1.10 to 1.32). How should his case be further evaluated and treated? Copyright © 2008 Massachusetts Medical Society.
引用
收藏
页码:391 / 403
页数:13
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