Hiperparatiroidismo primário com gamapatia monodonal: uma mera associacão?

Autores

  • José Pereira de Sousa Interno do Internato Complementar de Medici­na Interna, Serviço de Med. II dos Hospitais da Uni­versidade de Coimbra
  • João Gabriel Interno do Internato Complementar de Medici­na Interna, Serviço de Med. II dos Hospitais da Uni­versidade de Coimbra
  • Helena Figueiredo Interno do Internato Complementar de Medici­na Interna, Serviço de Med. II dos Hospitais da Uni­versidade de Coimbra
  • Ávila Costa Assistente Hospitalar de Medicina Interna, Serviço de Med. II dos Hospitais da Uni­versidade de Coimbra
  • Borges Alexandrino Assistente Hospitalar Graduado de Medicina Interna, Serviço de Med. II dos Hospitais da Uni­versidade de Coimbra
  • Políbio Serra e Silva Professor da Universidade de Coimbra e Direc­tor do Serviço de Med. II dos Hospitais da Uni­versidade de Coimbra

Palavras-chave:

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Resumo

Descreve-se o caso clínico de um doente de 66 anos, de sexo masculino e raça branca, interna­do no Serviço de Med II dos H.U.C por hipercal­cemia, em 26 de Julho de 1991 .

Teve alta com o diagnóstico definitivo de hiper­paratiroidismo primário e gamapatia monoclo­naL

A referência à associação de gamapatia mo­ nocional ( de significado indeterminado, ou mie­loma múltiplo), com hiperparatiroidismo primá­rio, já não é recente.

Apesar disso não abundam os artigos que re­latam tal associação. Actualmente a maioria dos autores pensa que se trata de mera coincidên­cia de duas situações frequentes.

O referido quadro levanta-nos importantes pro­blemas de diagnóstico, com implicações terapêu­ticas subsequentes.

O doente cujo caso clínico se descreve apresen­ tava também um carcinoma papilar da tiróide, associação a ser abordada em comunicação posterior e a propósito de um caso clínico.

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Referências

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Publicado

31-03-1994

Como Citar

1.
Pereira de Sousa J, Gabriel J, Figueiredo H, Costa Ávila, Alexandrino B, Serra e Silva P. Hiperparatiroidismo primário com gamapatia monodonal: uma mera associacão?. RPMI [Internet]. 31 de Março de 1994 [citado 15 de Outubro de 2024];1(1):29-36. Disponível em: https://revista.spmi.pt/index.php/rpmi/article/view/2432

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