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Case Reports
. 2013 Nov;54(11):1376-82.
doi: 10.1007/s00108-013-3369-6.

[Polydipsia, increasing fatigue and a huge mediastinal tumor in a 49-year-old woman]

[Article in German]
T Friedrich  1 , C Rust, G Bischoff, J G Wechsler, T Jakobs, N Woehrle, F Brettner, H Winter, M Angele, B Wendl
Affiliations
Case Reports

[Polydipsia, increasing fatigue and a huge mediastinal tumor in a 49-year-old woman]

[Article in German]
T Friedrich et al. Internist (Berl). 2013 Nov.

Abstract

A 49-year-old woman presented with unspecific symptoms including polydipsia, increasing fatigue for several weeks, and vague abdominal pain. Serum calcium (5.30 mmol/l; normal range 2.00-2.60) and parathyroid hormone levels (> 2500.0 ng/l; normal range 15.0-68.0) were extremely elevated. Imaging studies showed a huge mediastinal tumor. Based on these findings a hypercalcemic crisis caused by primary hyperparathyroidism was diagnosed. After intensive care treatment and further diagnostic procedures, the patient's parathyroid adenoma was removed by parathyroidectomy. The postoperative course was uneventful.

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