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International Journal of Clinical Research. 2021; 5: (4) ; 10.12208/j.ijcr.20210033 .

Diagnostic strategies of hypercalcemia----a case report of recurrent costal pain
高钙血症的诊疗思路——反复季肋部疼痛1例病例报告

作者: 曹阳, 李芳萍*,

中山大学附属第七医院(深圳)内分泌科 深圳

*通讯作者: 李芳萍,单位:中山大学附属第七医院(深圳)内分泌科 深圳;

引用本文: 李芳萍*,. 高钙血症的诊疗思路——反复季肋部疼痛1例病例报告[J]. 国际临床研究杂志, 2021; 5: (4) : 20-23.
Published: 2021/11/10 16:42:32

摘要

高钙血症病因复杂,临床表现缺乏特异性,不易及时发现并进一步寻找病因。本文报告一例因反复季肋部疼痛,经过9个月的就诊,最终以多发肋骨骨折、腰椎骨质疏松、血钙升高、血磷下降、PTH降低、血清蛋白电泳发现M蛋白条带为诊疗线索,确诊为“多发性骨髓瘤”的病例,复习高钙血症的诊疗思路,以尽早进行病因诊断。

关键词: 高钙血症;甲状旁腺激素;PTH非依赖性高钙血症;多发性骨髓瘤

Abstract

Etiologies of hypercalcemia are complicated, the symptoms are nonspecific which is not easy to be found. Here we reported the case of a woman suffered from costal pain for 9 months and finally diagnosed with Multiple myeloma by multi-rib fracture, lumber osteoposis, hypercalcemia, hypophosphatemia, low parathyroid hormone and serum protein electrophoresis found M protein. We review the diagnostic strategies of hypercalcemia for further identification of etiologies as early as possible.

Key words: Hypercalcemia; Parathyroid Hormone; PTH-Independent Hypercalcemia; Multiple Myeloma

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