Chronic Hypoparathyroidism Due to Partial Thyroidectomy with Intracranial Calcification

A 57 year old female came with the complaint of recurrent headache, often fatigue, and sometimes feel numbs and rigid in her extremities, no other symptom was noted. Her body weight is stable and she was in menopausal state (Figure 1a and 1b). She had a history of partial thyroidectomy 20 years ago...

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Bibliographic Details
Main Author: Indra Wijaya
Format: Article
Language:English
Published: Interna Publishing 2016-09-01
Series:Acta Medica Indonesiana
Online Access:http://www.actamedindones.org/index.php/ijim/article/view/141
Description
Summary:A 57 year old female came with the complaint of recurrent headache, often fatigue, and sometimes feel numbs and rigid in her extremities, no other symptom was noted. Her body weight is stable and she was in menopausal state (Figure 1a and 1b). She had a history of partial thyroidectomy 20 years ago and continues thiamazole 2.5 mg with seldom regular consult to physician. From the physical examination, the patient had a scar from thyroid surgery and other organs were in the normal condition. From laboratory examination, there was slight normocytic normochromic anemia (Hb: 10.7 gr/dL), normal fT4: 1.21 ng/dL (0.7-1.48 ng/dL), slightly low Calcium: 8.3 mg/dL (8.5-10.2 mg/dL), others were within normal limit but there was no Phosphorus level data.
ISSN:0125-9326
2338-2732