Abstract
Extensive aortic mediacalcosis: an unusual presentation of primary hyperparathyroidism
Highlights
Cardiovascular manifestations remain among the so-called "non-classical" or "nontraditional" complications of primary hyperparathyroidism (PHPT)
We report the original observation of symptomatic advanced and extensive mediacalcosis of the abdominal aorta revealing PHPT
Subsequent investigations concluded with PHPT: hypercalcemia at 3.22mmol/l, 1-84 parathyroid hormone at 255ng/ml, and right parathyroid adenoma at cervical computed tomography
Summary
Cardiovascular manifestations remain among the so-called "non-classical" or "nontraditional" complications of primary hyperparathyroidism (PHPT). They are by far dominated by hypertension, left ventricular failure, coronary artery disease, and myocardial and valvular calcifications [1,2]. Characteristic of secondary hyperparathyroidism (in patients with end-stage renal disease on dialysis), arterial calcifications are exceptional and unusual during PHPT [3]. They predominate in small vessels; the involvement of the aorta remains uncommon and not well known by clinicians [4,5].
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