A 33-year-old woman presented for investigation for a secondary cause of her long-standing treatment-resistant hypertension. Physical examination revealed a palpable thyroid nodule with subsequent ultrasound and CT scan indicating the nodule was of parathyroid origin. A palpable parathyroid nodule is known to be highly suspicious for a parathyroid carcinoma, and it remains a differential until proven otherwise. Histopathology following surgical excision confirmed a parathyroid adenoma, and during subsequent follow-up visits with her general practitioner, her antihypertensive was successfully weaned. We report a case of a large palpable parathyroid adenoma being the secondary cause of treatment-resistant hypertension.
- general practice / family medicine
- cardiovascular medicine
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Contributors MY and OC (equal first author) drafted the initial manuscript and reviewed the final manuscript. MY, SS and DX designed the initial manuscript and reviewed the final manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
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