RT Journal Article
SR Electronic
T1 Hypercalcaemia due to the coexistence of parathyroid adenoma and myelomatosis.
JF Journal of Clinical Pathology
JO J Clin Pathol
FD BMJ Publishing Group Ltd and Association of Clinical Pathologists
SP 732
OP 736
DO 10.1136/jcp.35.7.732
VO 35
IS 7
A1 R M Francis
A1 A G Bynoe
A1 C Gray
YR 1982
UL http://jcp.bmj.com/content/35/7/732.abstract
AB A 70-year-old woman presented with back pain due to vertebral crush fractures and was found to have hypercalcaemia. Investigation revealed evidence of both primary hyperparathyroidism and Bence Jones myeloma and this was subsequently confirmed at necropsy. This is the first description of a case in which the simultaneous occurrence of both diseases was reliably established. The case illustrates the difficulty in identifying the cause of hypercalcaemia in some patients, and emphasises the need to consider the diagnosis of myeloma in all cases of hypercalcaemia.