Posterior Reversible Encephalopathy Syndrome Secondary to Hypercalcemia in a Teenager: A Case Report
This case details an atypical presentation of a common clinical condition, primary hyperparathyroidism. A 16-year-old girl with no medical history presented with status epilepticus and hypertension. She reported a 3-month history of asthenia, nausea, vomiting, polyuria, and weight loss, as well as a...
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| Format: | Article |
| Language: | English |
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American College of Physicians
2024-11-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2024.0426 |
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| author | Valeria Roldan Catalina Aron-Said Patricia Bejar Jose Cotrina Giancarlo Sante Hector Sosa Arturo E. Villena |
| author_facet | Valeria Roldan Catalina Aron-Said Patricia Bejar Jose Cotrina Giancarlo Sante Hector Sosa Arturo E. Villena |
| author_sort | Valeria Roldan |
| collection | DOAJ |
| description | This case details an atypical presentation of a common clinical condition, primary hyperparathyroidism. A 16-year-old girl with no medical history presented with status epilepticus and hypertension. She reported a 3-month history of asthenia, nausea, vomiting, polyuria, and weight loss, as well as an episode of sudden vision loss with persistent blurriness. Her serum calcium was 3.94 mmol/L and her level of parathyroid hormone was 28.16 pmol/L. T2-weighted magnetic resonance imaging of the brain revealed symmetrical bilateral occipito-parietal hyperintensities. Taken together, the clinical context and radiologic findings in this case suggested a diagnosis of posterior reversible encephalopathy syndrome. Hypercalcemia is a rare cause of posterior reversible encephalopathy syndrome. |
| format | Article |
| id | doaj-art-e2e8621491404247babcff0b8479c5ba |
| institution | OA Journals |
| issn | 2767-7664 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-e2e8621491404247babcff0b8479c5ba2025-08-20T02:12:57ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642024-11-0131110.7326/aimcc.2024.0426Posterior Reversible Encephalopathy Syndrome Secondary to Hypercalcemia in a Teenager: A Case ReportValeria Roldan0Catalina Aron-Said1Patricia Bejar2Jose Cotrina3Giancarlo Sante4Hector Sosa5Arturo E. Villena61Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Peru1Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Peru2Departamento de Endocrinología, Hospital Nacional Cayetano Heredia, Lima, Peru3Departamento de Medicina Interna, Hospital Nacional Cayetano Heredia, Lima, Peru3Departamento de Medicina Interna, Hospital Nacional Cayetano Heredia, Lima, Peru3Departamento de Medicina Interna, Hospital Nacional Cayetano Heredia, Lima, Peru2Departamento de Endocrinología, Hospital Nacional Cayetano Heredia, Lima, PeruThis case details an atypical presentation of a common clinical condition, primary hyperparathyroidism. A 16-year-old girl with no medical history presented with status epilepticus and hypertension. She reported a 3-month history of asthenia, nausea, vomiting, polyuria, and weight loss, as well as an episode of sudden vision loss with persistent blurriness. Her serum calcium was 3.94 mmol/L and her level of parathyroid hormone was 28.16 pmol/L. T2-weighted magnetic resonance imaging of the brain revealed symmetrical bilateral occipito-parietal hyperintensities. Taken together, the clinical context and radiologic findings in this case suggested a diagnosis of posterior reversible encephalopathy syndrome. Hypercalcemia is a rare cause of posterior reversible encephalopathy syndrome.https://www.acpjournals.org/doi/10.7326/aimcc.2024.0426 |
| spellingShingle | Valeria Roldan Catalina Aron-Said Patricia Bejar Jose Cotrina Giancarlo Sante Hector Sosa Arturo E. Villena Posterior Reversible Encephalopathy Syndrome Secondary to Hypercalcemia in a Teenager: A Case Report Annals of Internal Medicine: Clinical Cases |
| title | Posterior Reversible Encephalopathy Syndrome Secondary to Hypercalcemia in a Teenager: A Case Report |
| title_full | Posterior Reversible Encephalopathy Syndrome Secondary to Hypercalcemia in a Teenager: A Case Report |
| title_fullStr | Posterior Reversible Encephalopathy Syndrome Secondary to Hypercalcemia in a Teenager: A Case Report |
| title_full_unstemmed | Posterior Reversible Encephalopathy Syndrome Secondary to Hypercalcemia in a Teenager: A Case Report |
| title_short | Posterior Reversible Encephalopathy Syndrome Secondary to Hypercalcemia in a Teenager: A Case Report |
| title_sort | posterior reversible encephalopathy syndrome secondary to hypercalcemia in a teenager a case report |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2024.0426 |
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