A 52-year-old man with hypertension, hypokalemia, and an adrenal mass

Article Abstract:

A 52-year-old man was diagnosed with an adenoma of the left adrenal gland. An adenoma is a benign tumor. The patient was admitted to the hospital for treatment for hypertension. He had a 12-year history of hypertension and decreased blood levels of potassium. He had spontaneously passed a kidney stone several years earlier, but its chemical composition had not been analysed. In the hospital, he was treated with drugs for hypertension, and given potassium supplements. His blood pressure did not decrease, and his blood potassium levels did not increase. His blood levels of the hormone aldosterone were elevated. A computed tomography (CT) scan revealed a mass on his left adrenal gland. A diagnostic test revealed that he had an adenoma of the left adrenal gland that was secreting aldosterone. The tumor was surgically removed. The patient's blood pressure and potassium levels returned to normal.

Hypertension, Causes of, Adenoma, Adrenal gland diseases

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A 44-year-old woman with a long history of intermittent hypercalcemia, a new neck mass, and hypercalcemic crisis

Article Abstract:

A 44-year-old woman was admitted to a hospital with hyperparathyroidism, an alarmingly high calcium concentration, and a mass in her neck. She had lost considerable weight and had been diagnosed with elevated calcium levels at the age of 29 years. The neck mass was surgically removed and proved to be an encapsulated parathyroid carcinoma, a rare finding in hyperparathyroidism. Benign growths are much more typical in patients with this disease. An additional small carcinoma in the mediastinum was removed after a renewed episode of hypercalcemia and calcium levels normalized thereafter.

Diagnosis, Surgery, Cancer, Hyperparathyroidism, Endocrine gland tumors, Hypercalcemia

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Acquired hypocalciuric hypercalcimia due to autoantibodies against the Calcium-sensing receptor

Article Abstract:

A 66-year-old woman suffering from parathyroid hormone-mediated hypercalcemia marked by progressive worsening of hypercalcemia and hypophosphatemia associated with parathyroid hormone levels. Subsequent testing showed that her disorder was due to the presence of IgG4 autoantibodies directed against the calcium-sensing receptor.

Health aspects, Diseases, Aged women, Elderly women, Parathyroid diseases

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