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Primary hyperparathyroidism revealed by gluten-free diet in a woman with celiac disease

Fanciulli, Giuseppe and Delitala, Alessandro Palmerio and Usai, Carlo Andrea and Delitala, Giuseppe (2012) Primary hyperparathyroidism revealed by gluten-free diet in a woman with celiac disease. Internal and Emergency Medicine, Vol. 7 (Suppl. 1), p. 37-38. ISSN 1828-0447. eISSN 1970-9366. Article.

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DOI: 10.1007/s11739-011-0604-9


Normocalcemic primary hyperparathyroidism (NPH) is a condition characterized by elevated parathyroid hormone (PTH) and consistent normal serum calcium levels, in patients in whom secondary causes of hyperparathyroidism have been excluded. NPH may represent the earliest presentation of frank (hypercalcemic) primary hyperparathyroidism (HPH).
In a recently published case report, asymptomatic celiac disease (CD) is reported in a woman with NPH. The authors of this report conclude that CD may be the underlying cause for some cases of NPH, and the diagnosis of CD should thus be considered in this setting.
We report a case in which calcium malabsorption due to CD was able to mask HPH.

Item Type:Article
ID Code:6175
Uncontrolled Keywords:Parathyroid hormone (PTH), celiac disease
Subjects:Area 06 - Scienze mediche > MED/13 Endocrinologia
Area 06 - Scienze mediche > MED/09 Medicina interna
Divisions:001 Università di Sassari > 03 Istituti > Clinica medica generale e terapia medica
001 Università di Sassari > 03 Istituti > Patologia speciale medica e metodologia clinica
Publisher:Springer Milan
Copyright Holders:© SIMI 2011
Deposited On:22 Jun 2011 09:46

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