以下消化道出血为首要症状的原发性甲状旁腺功能亢进症1例报告

doi:10.20047/j.issn1673-7210.2023.29.38

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Abstract The main symptoms of primary hyperparathyroidism (PHPT) are bone and urinary system. The lower gastrointestinal bleeding as the primary symptom is rare. Few studies have reported similar cases at home and abroad, which are easily misdiagnosed as digestive tract diseases, lead to affect the early diagnosis and treatment, and even endanger the life of patients. This paper reports a case of PHPT with lower gastrointestinal bleeding as the primary symptom. The main clinical manifestations of this patient are abdominal pain and hematochezia. At present, pathological examination is the main means of diagnosis of PHPT, laboratory examination and imaging examination can provide a high diagnostic basis before diagnosis, and surgery is the main treatment method. No abdominal pain and hematochezia were observed in the patients after surgery. Through this case, it can be seen that lower gastrointestinal bleeding PHPT is the primary symptom, which is easily misdiagnosed and missed, and clinical understanding of this disease should be further strengthened.

Key words： Primary hyperparathyroidism Hypercalcemia Lower gastrointestinal bleeding Case report

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	CHEN Hanqing ZHAO Xingjie SHI Rui ZHANG Shuangyuan LIN Zhengdao LI Xiaohong

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CHEN Hanqing ZHAO Xingjie SHI Rui ZHANG Shuangyuan LIN Zhengdao LI Xiaohong. A case report of primary hyperparathyroidism with lower gastrointestinal hemorrhage as the primary symptom[J]. 中国医药导报, 2023, 20(29): 173-176,185.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.29.38 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I29/173

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