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August 4, 1978

Spontaneous Return of Normocalcemia: Association With Long-term Hypoparathyroidism

Author Affiliations

From the Department of Medicine (Dr Licata), the University of Rochester, Rochester, NY; the Endocrine Metabolism Unit (Dr Licata), Rochester General Hospital, Rochester, NY; the Department of Medicine and Laboratory Services (Dr Guccion), Veterans Administration Hospital, Washington, DC; and the Department of Pathology (Dr Glowitz), George Washington University Medical Center, Washington, DC.

JAMA. 1978;240(5):468-469. doi:10.1001/jama.1978.03290050058023

A 58-year-old man was admitted to the hospital with the superior vena cava (SVC) syndrome. The patient had a 13-year history of hypocalcemia resulting from surgically induced hypoparathyroidism, which he controlled with calcium lactate. Nine months before admission, he discontinued his daily therapy and still remained in a normocalcemic state. After he had the SVC syndrome, a small-cell tumor of the lung was found. His serum calcium level decreased after radiation of the tumor mass, suggesting that the tumor may have been secreting a substance producing the normocalcemia. A substance was extracted from the tumor that reacted immunologically like parathyroid hormone.

(JAMA 240:468-469, 1978)