PT  - JOURNAL ARTICLE
AU  - Alpesh Goyal
AU  - Shipra Agarwal
AU  - Ravinder Goswami
AU  - Chandrasekhar Bal
TI  - Hyperplastic thyroid nodule masquerading as parathyroid adenoma in a patient with tubercular lymphadenitis induced hypercalcaemia
AID  - 10.1136/bcr-2020-237261
DP  - 2020 Nov 01
TA  - BMJ Case Reports
PG  - e237261
VI  - 13
IP  - 11
4099  - http://casereports.bmj.com/content/13/11/e237261.short
4100  - http://casereports.bmj.com/content/13/11/e237261.full
SO  - BMJ Case Reports2020 Nov 01; 13
AB  - Serum intact parathyroid hormone (iPTH) levels are high or high normal in patients with parathyroid adenoma. Rarely these patients can have normal or low serum iPTH values. With sandwich immunometric assays, an exceptionally high serum iPTH level can lead to falsely low measurement due to the ‘hook effect’. Here, we describe the case of a 66-year-old female patient with PTH-independent hypercalcaemia which mimicked parathyroid adenoma. A multidisciplinary team approach helped in the diagnosis and management leading to complete recovery.