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  • Title: Incidental primary hyperparathyroidism in a hypercalcaemic woman with tuberculous peritonitis.
    Author: Hung KH, Chen FC, Hu YH, Chen JB, Hsu KT.
    Journal: Int J Clin Pract Suppl; 2005 Apr; (147):64-6. PubMed ID: 15875627.
    Abstract:
    We report on a 51-year-old woman with initial hypercalcaemia and unknown ascites. In spite of unyielding laparoscopy, laparotomy showed findings compatible with tuberculous peritonitis (TBP). Unexpectedly, a series of examinations eventually revealed the concurrence of hyperparathyroidism due to a parathyroid adenoma. Anti-tuberculous regimen was given and was uneventful. However, hypercalcaemia was not decreased but sustained at a high level even after anti-tuberculous therapy for 3 months. Parathyroidectomy was performed with subsequent normalisation of hypercalcaemia. The aetiology of hypercalcaemia in a patient with an explored disease able to cause this electrolyte abnormality such as TBP may be a coexistent occult parathyroid adenoma.
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