Clinical Findings and Causes of Primary Hyperparathyroidism during18 Years in Loghman Medical Center
نویسندگان
1 Professor of General Surgery, Shahid Beheshti University of Medical Sciences and Health Services, Loghman Hospital, Tehran, Iran
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چکیده
Background and Objective: Primary hyperparathyroidism is a relatively common endocrine diseasethat can be accompanied by non-specific symptoms such as weakness, fatigue, bone pain, and kidney stones.From the laboratory point of view, this disease is seen with an increase in the level of calcium andparathyroid hormone. Definitive treatment in these patients is parathyroidectomy surgery.Materials & Methods: This study, which was conducted in a descriptive-retrospective manner, the filesin the archives of Loghman Medical Center, which underwent parathyroidectomy from 1385 to 1402, werereviewed.Results: Between 1385 and 1402, 43 patients underwent parathyroidectomy in Loghman Hospital, theirmean age was 47.3 ± 15 years, the youngest patient was 15 years old, and the oldest patient was 79 yearsold. 6 cases were men (14%) and 37 cases were women (86%). The ratio of women to men in this study was6.14 to 1. Adenoma is the most common cause of primary hyperparathyroidism.Conclusion: Primary hyperparathyroidism is a relatively common disorder in Iran, which usuallymanifests with bone pain and a history of kidney stones. Unlike western countries, this disease in Iran isusually diagnosed after symptoms develop, but like others, parathyroid adenoma is the mostcommon cause.