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患者维族、女性、18岁,因2月来下肢多次自发性骨折于1986年10月28日入院。同时伴四肢酸痛无力,间断头痛、头晕、(口恶)心,食欲不振,经期延长,尿量每日2～3升。病后发现高血压,否认浮肿及血尿史。家族中无类似病史。体检:发育正常,营养差。右颈前触及蚕豆大结节,硬、无压痛。甲状腺无肿大,胸廓无畸形,肋骨轻压痛,心、肺(-)。肝脾未及。腰椎、骨盆均无畸形,有轻压痛。双下肢股骨颈及股骨骨折、疼痛,明显呈外展畸形。腹部平片未见泌尿道阳性结石。入院后观察血压为140～190/90～120 mmHg每当头痛剧烈、血压升高时血钙也相应升高。如血压120/90mmHg时,血钙2.5 mmol/L;血压160/110mmHg时,血钙2.85 mmol/L;血压180/120 mmHg时,血钙3.7 mmol/L。实验室检查:无贫血,血钠、钾、氯及肝肾功均正常。
Uighur, female, 18 years old, was admitted to hospital on 28 October 1986 due to multiple spontaneous fractures of the lower extremities in February. At the same time with limb weakness, intermittent headache, dizziness, (mouth evil) heart, loss of appetite, menstrual prolongation, urine volume 2 to 3 liters daily. Hypertension was found after the disease, edema and history of hematuria. No similar family history. Physical examination: normal development, poor nutrition. Right front of the neck touches broad nodules, hard, no tenderness. Thyroid enlargement, no deformity of the thorax, tender tender ribs, heart, lung (-). Liver and spleen not yet. Lumbar spine, pelvis without deformity, mild tenderness. Lower extremity femoral neck and femoral fractures, pain, was significantly outreach. Abdominal plain no urinary stones. After admission, the observed blood pressure was 140 ~ 190/90 ~ 120 mmHg. Whenever the headache was severe, the blood calcium increased accordingly when the blood pressure increased. When the blood pressure was 120/90 mmHg, the blood calcium was 2.5 mmol / L; the blood calcium was 2.85 mmol / L when the blood pressure was 160/110 mmHg; and the blood calcium was 3.7 mmol / L when the blood pressure was 180/120 mmHg. Laboratory tests: no anemia, serum sodium, potassium, chlorine and liver and kidney function are normal.