中华内分泌代谢杂志
中華內分泌代謝雜誌
중화내분비대사잡지
CHINESE JOURNAL OF ENDOCRINOLOGY AND METABOLISM
2011年
10期
859-861
,共3页
王保平%张洁%朱梅%田伟军%崔瑾%苏文凌%朱铁虹%邱明才
王保平%張潔%硃梅%田偉軍%崔瑾%囌文凌%硃鐵虹%邱明纔
왕보평%장길%주매%전위군%최근%소문릉%주철홍%구명재
原发性胆汁性肝硬化%继发性甲状旁腺功能亢进症%低蛋白血症%血钙%甲状旁腺腺瘤
原髮性膽汁性肝硬化%繼髮性甲狀徬腺功能亢進癥%低蛋白血癥%血鈣%甲狀徬腺腺瘤
원발성담즙성간경화%계발성갑상방선공능항진증%저단백혈증%혈개%갑상방선선류
Primary biliary cirrhosis%Secondary hyperparathyroidism%Hypoalbuminemia%Serum calcium%Parathyroid adenoma
原发性胆汁性肝硬化可从多种途径影响钙和维生素D的代谢,进而引起骨软化和继发性甲状旁腺功能亢进症,但当同时出现低蛋白血症时可掩盖血钙的真实水平.因此若该病合并甲状旁腺腺瘤时容易漏诊.本文详细介绍1例原发性胆汁性肝硬化合并甲状旁腺腺瘤的诊治过程,旨在提醒临床医生重视低蛋白血症对血清总钙水平的影响.
原髮性膽汁性肝硬化可從多種途徑影響鈣和維生素D的代謝,進而引起骨軟化和繼髮性甲狀徬腺功能亢進癥,但噹同時齣現低蛋白血癥時可掩蓋血鈣的真實水平.因此若該病閤併甲狀徬腺腺瘤時容易漏診.本文詳細介紹1例原髮性膽汁性肝硬化閤併甲狀徬腺腺瘤的診治過程,旨在提醒臨床醫生重視低蛋白血癥對血清總鈣水平的影響.
원발성담즙성간경화가종다충도경영향개화유생소D적대사,진이인기골연화화계발성갑상방선공능항진증,단당동시출현저단백혈증시가엄개혈개적진실수평.인차약해병합병갑상방선선류시용역루진.본문상세개소1례원발성담즙성간경화합병갑상방선선류적진치과정,지재제성림상의생중시저단백혈증대혈청총개수평적영향.
In patient with primary biliary cirrhosis,the metabolism of calcium and vitamin D could be affected and osteomalacia and secondary hyperparathyroidism might occurr.Besides,hypoalbuminemia may mask the real level of serum calcium and thus lead to misdiagnosis of coexisting parathyroid adenoma.Therefore,a rare case of parathyroid adenoma associated with primary biliary cirrhosis was herewith presented to call attention to the effect of hypoalbuminemia on serum calcium.
