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20th European Congress of Endocrinology

Barcelona, Spain
19 May 2018 - 22 May 2018

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ECE 2018, 19 - 22 May 2018; Barcelona, Spain

Poster Presentations: Calcium and Bone

Clinical case reports - Thyroid/Others

ea0056p263 | Clinical case reports - Thyroid/Others | ECE2018

Severe hypercalcemia due to atypical parathyroid adenoma

Taskiran Bengur , Cansu Guven Baris , Kalayci Orhan , Cetin Kismet Civi , Mutluay Ruya

Introduction: Primary hyperparathyrodism is due to benign parathyroid adenomas in more than 90% and parathyroid cancer (PC) in less than 1% of cases. There are no definite clinical criteria differentiating PCs and adenomas. Another subtype, parathyroid neoplasm of uncertain potential is also referred as atypical parathyroid adenoma (APA) and share a few histopathologic features common to cancers.Case: A 47 year old female patient was consulted due to hyp...

ea0056p264 | Clinical case reports - Thyroid/Others | ECE2018

Functional hypoparathyroidism secondary to magnesium deficiency in long-term users of proton pump inhibitor: case report

Egshatyan Lilit , Mirnaya Svetlana

Introduction: Gastroesophageal reflux disease (GERD) is now widely prevalent around the world, with clear evidence of increasing prevalence in many developing countries. Treatment for most people with GERD includes lifestyle changes and medication. Proton pump inhibitors (PPIs) are a mainstay therapy for all gastric acid-related diseases. Long-term use of PPIs is associated with hypomagnesaemia, hypokalemia, hypocalcaemia, osteoporosis and bone fractures, renal disease, and ot...

ea0056p265 | Clinical case reports - Thyroid/Others | ECE2018

Utility of 11C-methionine PET/CT in preoperative localization of a parathyroid adenoma in a patient with primary hyperparathyroidism: a case report

Rosiek Violetta , Kos-Kudla Beata

Introduction: Parathyroid adenoma is the most common cause of primary hyperparathyroidism. Effective preoperative imaging and localizing the parathyroid adenoma is a prerequisite for the surgical treatment. 99mTc-MIBI scintigraphy in combination with ultrasound of the neck are the imaging modalities of choice before parathyroidectomy. However, both have limitations in terms of their efficacy in localizing the adenomas; 11C-Methionine or 18F-Fluorocholine PET/CT has ...

ea0056p266 | Clinical case reports - Thyroid/Others | ECE2018

Ulnar osteoclastoma as first manifestation in primary hyperparathyroidism: case report

Bojoga Irina , Enache Oana , Martin Sorina , Fica Simona

Background: Nowadays, primary hyperparathyroidism is usually diagnosed incidentally, in asymptomatic patients, while only around 15% of patients present the classical manifestations. Osteoclastoma, a benign bone lesion, is usually the late manifestation of hyperparathyroidism.Objective: We present the case of a 52 years old female (non-menopausal) recently diagnosed with ulnar osteoclastoma, primary hyperparathyroidism and secondary osteoporosis.<p c...

ea0056p267 | Clinical case reports - Thyroid/Others | ECE2018

Lithium-associated Hyperparathyroidism in a Filipino woman presenting as recurrent ischemic stroke: a case report

Francisco Danica , Lazaro Karen , Puno-Ramos Patricia

Background: Lithium salts have been widely known to induce thyroid dysfunction, however, parathyroid dysfunction due to lithium use is uncommonly encountered. Hypercalcemia is a relatively common consequence of lithium therapy presenting with nonspecific symptoms that may be overlooked. Although cerebral infarction may be an independent event from psychiatric disorders, it can also be a rare complication that must be recognized particularly in patients on lithium therapy.<...

ea0056p268 | Clinical case reports - Thyroid/Others | ECE2018

Looked like a goiter, proved to be a giant parathyroid adenoma

Racolta Niculina , Wagner Clothilde , Lopez Rita Caro , Dupre Laure Droy , Patey Martine , Smagala Agnes

Primary hyperparathyroidism is the third most common endocrine disorder, caused, in the majority of cases, by a single parathyroid adenoma and rarely by multigland adenoma or parathyroid carcinoma. Giant parathyroid adenomas, defined as larger than 3 g, represent an uncommon cause of primary hyperparathyroidism, with only a few cases described in the literature. We present the case of a 47 years old female who presented with a significant, unpainful, left cervical mass associa...

ea0056p269 | Clinical case reports - Thyroid/Others | ECE2018

Concomitant primary hyperparathyroidism with papillary thyroid carcinoma: The role of dual-phase 99mTc-MIBI parathyroid imaging: case report

Anghel Adina , Vasiliu Gabriela , Ungureanu Maria Christina , Preda Cristina , Mogos Voichita , Stefanescu Cipriana , Danila Radu , Leustean Letitia

Introduction: Although concomitant primary hyperparathyroidism (PHPT) and papillary thyroid carcinoma (PTC) has been repeatedly reported in medical literature with an incidence of 2.3–4.3%, no causal relationship has been elucidated. In most cases, diagnosis of PTC is mostly incidentally, while PHPT is usually the primary pathology. Recent literature supports the possible role of dual-phase 99mTc-MIBI parathyroid imaging in detecting PTC in patients with PHPT.<...

ea0056p270 | Clinical case reports - Thyroid/Others | ECE2018

Multiple brown tumors inprimary hyperparathyroidismcaused by an adenoma mimicking metastatic bone disease with false positive results on computed tomography

Pradhan Roma , Shrimor Prachi , Kharga Bikram

Introduction: Brown tumors are bone lesions that arise due to osteoclastic activity and may mimic a true neoplasm. We encountered an unusual case of hyperparathyroidism with multiple brown tumors that mimicked metastatic bone tumor due to false positive results on computed tomography (CT).Case: 60 year old gentleman presented to the medicine out patient department with complains of fever, cough and right chest pain. Due to severe chest infection he was a...

ea0056p271 | Clinical case reports - Thyroid/Others | ECE2018

Regression of multipl brown tumors after surgical removal of mediastinal ectopic parathyroid adenoma

Cakir Sezin Dogan , Erol Rumeysa Selvinaz , Saygili Emre Sedar , Basmaz Seda Erem , Batman Adnan , Ozturk Feyza Yener , Sen Esra Cil , Canat Muhammed Masum , Yildiz Duygu , Ersen Ezel , Altuntas Yuksel

Introduction: Parathyroid adenoma is the most common cause of primer hyperparathyroidism (PHPT). Mediastinal ectopic parathyroid adenomas constitute about 1–3% of the cases. Brown tumors ocur in less than 2% of the patients with PHPT. Moreover, those skeletal manifestations are even rarely demonstrated with maxillofacial bones involvement.Case presentaton: Here we report a 36-years-old woman presented with approximately 30×26 mm mass growth in ...

ea0056p272 | Clinical case reports - Thyroid/Others | ECE2018

Multiple hormone resistance in a patient with follicular thyroid carcinoma and papillary microcarcinoma

Pandzic Jaksic Vlatka , Kraljevic Ivana , Grbic Pavlovic Petra , Kusacic Kuna Sanja

Pseudohypoparathyroidism and related hormone resistance disorders have very heterogeneous clinical course and might be recognized only in the adulthood, particularly with the development of hypocalcemia. We present a 41 years old male patient who underwent a neurological investigation because of progressive muscle weakness and elevated creatinine kinase. Very low serum calcium (1.46 mmol/l) with hyperphosphatemia, low magnesium and high normal PTH were measured. The patient al...

ea0056p273 | Clinical case reports - Thyroid/Others | ECE2018

Hypercalcemia not mediated by PTH: a case report

Zambrano-Huerta Yolanda , Gregorio Oliva-Garcia Jose , Teresa Herrera-Arranz Maria , Olvera-Marquez Pilar , Marquez-Mesa Elena , Lorenzo-Gonzalez Cristina

Introduction: Hypercalcemia is a frequent hydroelectrolytic disorder, and primary hyperparathyroidism is the most common cause in oupatients. It is important to make an early diagnosis and adequate treatment in order to avoid possible complications such as nephrolithiasis, osteoporosis or the deterioration of glomerular filtration rate.Clinical case: A 63-year-old female patient referred for hypercalcemia. Past medical history included stage IV chronic r...

ea0056p274 | Clinical case reports - Thyroid/Others | ECE2018

Papillary thyroid cancer and primary hyperparathyroidism – a rare coincidence: case report

Puca Entela , Bitri Sonila , Burak Koza Kadir , Dhima Arben , Puca Edmond , Lumi Ema , Olldashi Blertina

Introduction: Although co-association between thyroid disease and parathyroid disease is rare, co-existence between parathyroid adenomas (HPPs) and papillary thyroid carcinomas (PTC) is rare. Perhaps this can be explained by the different embryological origins of the thyroids cells with the parathyroid cells.Objectives: To report a case with parathyroid adenoma and multifocal papillary thyroid carcinoma.Case presentation: A 62-year...