 |
|
Pathological Case of the Month
Lisa M. Schweiger, MD;
Helen Y. Hsiang, MD
From the Department of Pediatrics, University of Florida College of Medicine, Gainesville, and Sacred Heart Children's Hospital, Pensacola, Fla (Dr Schweiger); and the Division of Pediatric Endocrinology, Nemours Children's Clinic, Pensacola (Dr Hsiang). Dr Schweiger is now in private practice in San Diego, Calif.
Arch Pediatr Adolesc Med. 2002;156:83-84.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
A PREVIOUSLY healthy 13-year-old girl had nausea, vomiting, fatigue, weakness, and a 1.13-kg weight loss over 1 week without fever or diarrhea. Menarche was at 12 years of age, and she had regular periods.
The patient was admitted to the hospital with a diagnosis of acute gastritis and dehydration. She was afebrile, normotensive, mildly dehydrated, and in no distress. Her sexual maturation was Tanner stage IV. Pelvic examination was deferred initially, and the remaining physical examination results were normal. Results of initial laboratory tests were normal except for a total serum calcium level of 14.1 mg/dL, an ionized calcium level of 7.46 mg/dL (reference range, 4.60-5.30 mg/dL), and a serum phosphorus concentration of 2.2 mg/dL. The urine calcium/creatinine ratio was elevated at 0.53 (reference range, 0.05-0.25), and the result of a pregnancy test was negative. A technetium Tc-99m sestamibi scan showed no . . . [Full Text of this Article]
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Slipped Capital Femoral Epiphysis Associated with Primary Hyperparathyroidism and Severe Hypercalcemia
Qadan et al.
CLIN PEDIATR 2003;42:439-441.
|
