PHILIP MAY, M.D.; RICHARD P. LEVY, M.D.
Hypercalcemia as a feature of thyrotoxicosis is well known, as is the association of pancreatitis with hypercalcemia and hyperparathyroidism (1). The case that we report is the first, to our knowledge, in which hyperthyroidism and acute pancreatitis were associated. Furthermore, renal tubular acidosis accompanied the hyperthyroidism; only two other similar cases have been reported (2, 3). In our patient, the tubular acidosis was shown to be of the distal type. Of additional interest are the autopsy findings for this patient, who sustained accidental death shortly after study.
The patient was healthy until age 18, when an 11 kg-weight loss in
MAY P, LEVY RP. Thyrotoxicosis Associated with Renal Tubular Acidosis and Acute Pancreatitis: A Case Report. Ann Intern Med. ;84:569–570. doi: 10.7326/0003-4819-84-5-569
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Published: Ann Intern Med. 1976;84(5):569-570.
Endocrine and Metabolism, Gastroenterology/Hepatology, Pancreatic Disease, Thyroid Disorders.
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