Multiple endocrine neoplasia type IIa: a case report.

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dc.contributor.authorSeeherunvong, Ten_US
dc.contributor.authorChuresigaew, Sen_US
dc.contributor.authorHemsrichart, Ven_US
dc.date.accessioned2009-05-27T20:52:45Z
dc.date.available2009-05-27T20:52:45Z
dc.date.issued1998-10-06en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractThe authors reported a twelve year and four-month old girl who had prolonged fever for 2 weeks. Physical examination revealed a painless enlarged thyroid gland with firm consistency. Hyperparathyroidism was suspected because of hypercalcemia, hypophosphatemia, high level of serum alkaline phosphatase, and decreased density of long bones. Thyroid scan showed a cold nodule of the left upper lobe which subsequently proved to be a medullary thyroid carcinoma by high serum thyrocalcitonin level and pathological examination. Her 24-hour urinary vanillyl mandelic acid was in the normal range, and abdominal ultrasonography demonstrated normal adrenal glands. Multiple endocrine neoplasia type IIa (MEN IIa) was diagnosed by medullary thyroid carcinoma and hyperparathyroidism. However, the fully developed syndrome is characterized by the combined occurrence of medullary thyroid carcinoma, primary hyperparathyroidism, and pheochromocytomas. This syndrome is a rare, complex, and potentially lethal disease so early recognition and family screening are very important.en_US
dc.description.affiliationDepartment of Medical Services, Children's Hospital, Bangkok, Thailand.en_US
dc.identifier.citationSeeherunvong T, Churesigaew S, Hemsrichart V. Multiple endocrine neoplasia type IIa: a case report. Journal of the Medical Association of Thailand. 1998 Oct; 81(10): 789-93en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/43799
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshCarcinoma, Medullary --diagnosisen_US
dc.subject.meshChilden_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshHyperparathyroidism --diagnosisen_US
dc.subject.meshMultiple Endocrine Neoplasia Type 2a --diagnosisen_US
dc.subject.meshThyroid Neoplasms --diagnosisen_US
dc.titleMultiple endocrine neoplasia type IIa: a case report.en_US
dc.typeCase Reportsen_US
dc.typeJournal Articleen_US
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