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Abstract：
Primary hyperparathyroidism (PHPT) is not an uncommon endocrine disorder. We describe a patient with PHPT who presented with progressive proximal limbs weakness and dystrophic changes of leg muscles. Serum calcium, alkaline phosphatase, and parathyroid hormone were elevated and serum phosphorus was low. Neck computerized tomography scan showed a parenchymatous tumor in the right lobe of the thyroid. The tumor presented as a \'cold nodule\' in the dual-phase single-agent Tc-99m MIBI scan. The right lobectomy examination confirmed the diagnosis of an intrathyroidal parathyroid adenoma of the right gland.
摘要：
原发性甲状旁腺功能亢进（PHPT）是一种罕见的内分泌疾病。我们描述了一名患有PHPT的患者，该患者表现为进行性近端四肢无力和腿部肌肉营养不良性变化。血清钙，碱性磷酸酶,甲状旁腺激素升高，血清磷降低。颈部计算机断层扫描显示甲状腺右叶有实质性肿瘤。在双相单剂Tc-99mMIBI扫描中，肿瘤表现为“冷结节”。右叶切除术检查证实了右腺甲状腺内甲状旁腺腺瘤的诊断。
