RESUMO
Sixteen percent of primary hyperparathyroidism is caused by ectopic parathyroid glands. These cases present diagnostic and therapeutic challenges. In this article we present the case of a patient underwent surgery for a mediastinal parathyroid adenoma causing symptomatic hypercalcaemia.
Assuntos
Adenoma/diagnóstico , Adenoma/cirurgia , Coristoma , Neoplasias do Mediastino/diagnóstico , Neoplasias do Mediastino/cirurgia , Glândulas Paratireoides , Neoplasias das Paratireoides/diagnóstico , Neoplasias das Paratireoides/cirurgia , Adenoma/complicações , Adenoma/patologia , Idoso , Aspiração por Agulha Fina Guiada por Ultrassom Endoscópico , Feminino , Humanos , Hipercalcemia/etiologia , Hiperparatireoidismo Primário/etiologia , Imuno-Histoquímica , Neoplasias do Mediastino/complicações , Neoplasias do Mediastino/patologia , Neoplasias das Paratireoides/complicações , Neoplasias das Paratireoides/patologia , Compostos Radiofarmacêuticos , Tecnécio Tc 99m Sestamibi , Toracotomia , Tomografia Computadorizada de Emissão de Fóton Único/métodos , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
Anabolic steroids and creatine supplementation is one of the current abuse used by body builders. It is less known that this combination beside of many deleterious effects may also cause renal damage. Authors report a case of diffuse membranoproliferative glomerulonephritis type I in a 22-year-old man who had been taking continuously methandion in a large quantity and 200 grams of creatine daily, and was sent to the outpatient nephrologic unit with typical clinical signs of nephrosis syndrome. They also call attention to the role of the continuously consumed creatine in the renal failure.