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Case Reports
. 2022 Apr-Jun;18(2):225-227.
doi: 10.4183/aeb.2022.225.

PARATHYROID ADENOMA MIMICKING TUBERCULOSIS IN A PERITONEAL DIALYSIS PATIENT

S Karahisar Şirali  1 , Ö Kavraz Tomar  1 , R Büberci  1 , A Z Bal  1 , M Duranay  1
Affiliations
Case Reports

PARATHYROID ADENOMA MIMICKING TUBERCULOSIS IN A PERITONEAL DIALYSIS PATIENT

S Karahisar Şirali et al. Acta Endocrinol (Buchar). 2022 Apr-Jun.

Abstract

The most common cause of hypercalcemia is parathyroid hyperplasia and carcinoma. Tuberculosis(TB) and sarcoidosis are the most common granulomatous diseases of the parathyroid. We report a case of parathyroid adenoma that can mimic many lesions. A 46-year-old woman on continuous ambulatory peritoneal dialysis (CAPD) with symptoms and signs of hypercalcemia. Laboratory findings were consistent with tertiary hyperparathyroidism. She underwent elective parathyroidectomy due to high PTH values despite effective treatment including calcimimetics and vitamin D receptor activators. Subtotal thyroidectomy and three and a half of parathyroid adenomas were removed. Histopathological examination revealed features of parathyroid adenoma with granulomatosis infection that supports tuberculosis. In order to confirm the pathological findings, the PCR study was performed on the pathology specimens. After obtaining a negative result, the treatment was stopped. We have reported a case of parathyroid adenoma that mimicking tuberculosis.

Keywords: granulomatous inflammation; hyperparathyroidism; tuberculosis.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Figure 1
Figure 1
Scintigraphic view of the involvement of pathological activity in the patient’s nodular lesions.
Figure 2
Figure 2
Histopathologic findings of the patient pointing out Langhans type giant cells and epithelioid histiocytes.
See this image and copyright information in PMC

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