Case Report
A Case of Von Hippel–Lindau Disease with Bilateral Pheochromocytoma and Ectopic Hypersecretion of Intact Parathyroid Hormone in an Adolescent Girl
Table 1
Biological parameters before and after surgery.
| | Before surgery | After surgery | Reference ranges |
| Fasting glucose level (mmol/l) | 16.39 | 4.78 | 4.12–5.55 | Glycated hemoglobin (%) | 10.12 | 5.91 | ≤5.6 | Total cholesterol (mmol/l) | 11.83 | 5.23 | 3.1–5.18 | Triglycerides (mmol/l) | 2.43 | 1.21 | 0.57–1.71 | Natremia (mmol/l) | 135 | 140 | 135–145 | Kalemia (mmol/l) | 3.3 | 4 | 3.6–5 | Creatinine (mg/L) | 6 | 6 | 4–13 | Calcium (mg/L) | 111.2 | 98 | 88–105 | Phosphate (mg/L) | 44 | 36 | 27–45 | Albumin (g/l) | 47.22 | — | 35–52 | Intact PTH (μg/L) | 182 | 54 | 11–62 | TSH (mUI/L) | 0.625 | — | 0.12–3.4 | FT4 (ng/dl) | 1.31 | — | 0.71–1.85 | Calcitonin (ng/L) | 2.70 | — | <10.00 | 24 h-urine NMN (μg/24) | 3150 | 570 | 30–600 | 24 h-urine MN (μg/24) | 40.2 | 12 | 20–345 | 24 h-urine sodium (mmol/24 h) | 88.5 | — | | 24 h-urine potassium (mmol/24 h) | 60 | — | | 24 h-urine calcium (mg/24 h) | 200 | — | | 24 h-proteinuria (g/24) | 0.3 | — | <0.3 |
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PTH: parathormone, TSH: thyroid stimulating hormone, FT4: free-T4, NMN: normetanephrines, MN: metanephrines. The intact PTH dosage was made using 3 rd generation chemiluminescence immunoassay. |