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Jose R. L. Batubara
Department of Child Health, Universitas Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
Health Professions Medicine & Pharmacology

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Primary Hyperparathyroidism Caused by Single Parathyroid Adenoma Jose R. L. Batubara; Paruhum T. Siregar; M. Lutfi; Daniel Makes; Wawan Hermawan
Paediatrica Indonesiana Vol 35 No 9-10 (1995): September - October 1995
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2056.933 KB) | DOI: 10.14238/pi35.9-10.1995.236-40

Abstract

Primary hyperparathyroidism is rarely found in children under sixteen years old. We report the first case seen at the Department of Child Health, Medical School, University of Indonesia, Jakarta. This 15-year old girl was admitted to the Department, referred by an orthopedic surgeon because of pathologic fractures suspected to be caused by hyperparathyroidism. The physical examination was unremarkable, and the laboratory findings showed increased level of parathyroid hormone. Roentgenologic examination showed lytic skull lesions, loss of the lamina dura of the dentis, subperiosteal resorption of the symphysis and generalized osteoporosis with pathologic fractures. Color Doppler USG using a high resolution ultrasound examination was performed to find the etiology of primary hyperparathyroidism. The result revealed single parathyroid adenoma in the right superior region measuring 2.7 x 1.7 x 1 cm. The clinical manifestation and laboratory findings showed improvement following surgery.
Graves' Disease and Diabetes Mellitus M. Suttan Assin; Jusuf Rukman; Jose R. L. Batubara; Purnama Wati S. P.
Paediatrica Indonesiana Vol 32 No 11-12 (1992): November - December 1992
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (412.322 KB) | DOI: 10.14238/pi32.11-12.1992.327-31

Abstract

Thyroid hormones play an important role in the metabolic propesses. Its disturbances will involve several organs, consequently. A 5 year old girl with Graves' diseases, after several weeks of treatment with propylthiouracil (PTV), developed thyrotoxicosis crisis and diabetes mellitus with ketoacidosis; a condition which is usually fatal. Treatment toward the hyperthyroid state overcome the diabetic stage, eventually. This report is an example of an endocrinological interaction in a hyperthyroid patient. Therefore, the diabetogenic effect of hyperthyroxinemia should not be overlooked.
Co-Authors Daniel Makes Jusuf Rukman M. Lutfi M. Suttan Assin Paruhum T. Siregar Purnama Wati S. P. Wawan Hermawan