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Hypercalcemia in a patient with polycythemia vera. 2012
Eun Hui Bae, and
Hyun Soo Kim, and
Min Jee Kim, and
Yong Un Kang, and
Yeong Hui Kim, and
Chang Seong Kim, and
Joon Seok Choi, and
Seong Kwon Ma, and
Soo Wan Kim
Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
A 59-year-old female with diabetes mellitus presented with hypercalcemia and polycythemia. Her serum calcium and intact parathyroid hormone (iPTH) levels were increased, and Tc-99m sesta-MIBI scanning showed hot uptake in the lower portion of the left thyroid lobe. After parathyroidectomy, her calcium, iPTH, and polycythemia were normalized. In conclusion, the differential diagnosis of polycythemia and hypercalcemia should also include the possibility of a parathyroid tumor in addition to other neoplasms.
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