JAMES M. FALKO; HAROLD K. BERENZWEIG
To the editor: In the paper "Thyrotoxicosis Associated with Renal Tubular Acidosis and Acute Pancreatitis: A Case Report" published in the May issue (Ann Intern Med 84:569-570, 1976), numerous important points are omitted. There is no mention of the patient's lipid levels, history of alcohol or drug intake, or family history. A calcium level of 11.9 mg/ml in the face of pancreatitis is most unusual unless the patient has coexistent hyper-parathyroidism. Furthermore no autopsy description of the parathyroid glands was given. We believe that the author's hypothesis that the hyperthyroidism induced the hyper-calcemia, which then caused the pancreatitis, lacks adequate supporting
FALKO JM, BERENZWEIG HK. Thyrotoxic Hypercalcemia, Renal Tubular Acidosis, and Pancreatitis. Ann Intern Med. 1976;85:404. doi: 10.7326/0003-4819-85-3-404_1
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Published: Ann Intern Med. 1976;85(3):404.
Endocrine and Metabolism, Fluid and Electrolyte Disorders, Nephrology.
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