Q J Med 2000; 93: 560-561
© 2000 Association of Physicians
Correspondence |
Primary hyperthyroidism due to a parathyroid adenoma with subsequent myasthenia gravis
Wolverhampton Diabetes Centre, New Cross Hospital, Wolverhampton
Sir,
There are two cases in the world literature reporting an association between myasthenia gravis with thymoma and hyperparathyroidism.1,2 In the first, the hyperparathyroidism was due to a parathyroid adenoma,1 while in the second it was due to nodular hyperplasia.2 Subsequently, a case with no myasthenia gravis but with a thymoma and hyperparathyroidism due to a parathyroid adenoma has been published.3
We report a case of myasthenia gravis and hyperparathyroidism due to parathyroid adenoma with no thymoma detected. We also raise the possibility that
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