Abstract:
BACKGROUND:Environmental habitat may play a role in clinical disparities of primary hyperparathyroidism (pHPT) patients. AIMS:To compare preoperative clinical symptoms and associated conditions and surgical findings in patients with pHPT, living in different geographical regions from the Black Sea, Mediterranean and Anatolia regions. STUDY DESIGN:Retrospective, clinical-based multi-centric study of 694 patients with pHPT. METHODS:Patients from 23 centers and 8 different geographical regions were included. Data related to baseline demographics, clinical, pathologic and treatment characteristics of 8 regions were collected and included age, gender, residential data, symptoms, history of fracture, existence of brown tumor, serum total Ca and p levels, serum parathormone (PTH) levels, serum 25-OH vitamin D levels, bone mineral density, size of the resected abnormal parathyroid gland(s), histology, as well as the presence of ectopia, presence of dual adenoma, and multiple endocrine neoplasia (MEN)- or familial-related disease. RESULTS:The median age was 54. Asymptomatic patient rate was 25%. The median PTH level was 232 pg/mL and serum total Ca was 11.4 mg/dL. Eighty-seven percent of patients had an adenoma and 90% of these had a single adenoma. Hyperplasia was detected in 79 patients and cancer in 9 patients. The median adenoma size was 16 mm. Significant parameters differing between regions were preoperative symptoms, serum Ca and p levels, and adenoma size. All patients from South-East Anatolia were symptomatic, while the lowest p values were reported from East Anatolia and the largest adenoma size, as well as highest Ca levels, were from Bulgaria. CONCLUSION:Habitat conditions vary between geographical regions. This affects the clinicopathological features of patients with pHPT.
journal_name
Balkan Med Jjournal_title
Balkan medical journalauthors
Makay Ö,Özçınar B,Şimşek T,Arıcı C,Güngör B,Özbaş S,Akça T,Emre AU,Karadeniz Çakmak G,Akçay M,Ünal B,Girgin M,Girgin S,Görgülü S,Sezer A,Karataş A,Özemir İA,Aksakal N,Erel S,Uğurlu MÜ,Filiz Aİ,Atalay C,Uzunköydoi
10.4274/balkanmedj.2015.0865subject
Has Abstractpub_date
2017-01-01 00:00:00pages
28-34issue
1eissn
2146-3123issn
2146-3131pii
1923journal_volume
34pub_type
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journal_title:Balkan medical journal
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journal_title:Balkan medical journal
pub_type: 杂志文章,多中心研究
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abstract:BACKGROUND:Citalopram is a selective serotonin reuptake inhibitor that requires routine cardiac monitoring to prevent a toxic dose. Prolongation of the QT interval has been observed in acute citalopram poisoning. Our previous experimental study showed that citalopram may be lead to QT prolongation by stimulating adenos...
journal_title:Balkan medical journal
pub_type: 杂志文章
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journal_title:Balkan medical journal
pub_type: 杂志文章
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journal_title:Balkan medical journal
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doi:10.5152/balkanmedj.2012.014
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journal_title:Balkan medical journal
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journal_title:Balkan medical journal
pub_type: 杂志文章
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journal_title:Balkan medical journal
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journal_title:Balkan medical journal
pub_type: 杂志文章
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journal_title:Balkan medical journal
pub_type: 杂志文章
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pub_type: 杂志文章,评审
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更新日期:2017-12-01 00:00:00
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journal_title:Balkan medical journal
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journal_title:Balkan medical journal
pub_type: 杂志文章
doi:10.5152/balkanmedj.2014.14528
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journal_title:Balkan medical journal
pub_type: 杂志文章
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journal_title:Balkan medical journal
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更新日期:2014-09-01 00:00:00
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journal_title:Balkan medical journal
pub_type: 杂志文章
doi:10.5152/balkanmedj.2013.8259
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journal_title:Balkan medical journal
pub_type: 杂志文章
doi:10.5152/balkanmedj.2016.151610
更新日期:2016-09-01 00:00:00
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journal_title:Balkan medical journal
pub_type: 杂志文章
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journal_title:Balkan medical journal
pub_type: 杂志文章
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journal_title:Balkan medical journal
pub_type: 杂志文章
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更新日期:2013-03-01 00:00:00
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journal_title:Balkan medical journal
pub_type: 杂志文章
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更新日期:2016-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-04-10 00:00:00