<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1139-7632</journal-id>
<journal-title><![CDATA[Pediatría Atención Primaria]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pediatr Aten Primaria]]></abbrev-journal-title>
<issn>1139-7632</issn>
<publisher>
<publisher-name><![CDATA[Asociación Española de Pediatría de Atención Primaria]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1139-76322019000400009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Adenoma paratiroideo como causa de hipercalcemia]]></article-title>
<article-title xml:lang="en"><![CDATA[Parathyroid adenoma as a cause of hypercalcemia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mateo Ferrando]]></surname>
<given-names><![CDATA[Ana Mª]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Baquedano Lobera]]></surname>
<given-names><![CDATA[Irene]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arriba Muñoz]]></surname>
<given-names><![CDATA[Antonio de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villamañan Montero]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duplá Arenaz]]></surname>
<given-names><![CDATA[María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro de Salud Canal Imperial  ]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Infantil Universitario Miguel Servet MIR-Pediatría ]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario Miguel Servet Servicio de Endocrinología ]]></institution>
<addr-line><![CDATA[Zaragoza ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>21</volume>
<numero>84</numero>
<fpage>383</fpage>
<lpage>387</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1139-76322019000400009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1139-76322019000400009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1139-76322019000400009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Existen numerosas causas de hipercalcemia que exigen un amplio diagnóstico diferencial, entre las que se encuentra el adenoma paratiroideo, una etiología rara en la edad pediátrica. El adenoma paratiroideo produce un incremento de hormona paratiroidea (PTH) que desencadena hipercalcemia mediante aumento de la absorción gastrointestinal y tubular renal de calcio, y mayor resorción ósea. El tratamiento inicial tiene como objetivo reducir la calcemia y el tratamiento definitivo consiste en la exéresis quirúrgica del adenoma, ayudada de monitorización de niveles intraoperatorios de PTH. Se presenta el caso de una paciente de diez años, con hallazgo de hipercalcemia en un estudio de dolor abdominal de larga evolución, que en los últimos días asociaba vómitos, anorexia, poliuria y polidipsia. Se trata de un hiperparatiroidismo debido a un adenoma paratiroideo en el que fue necesario utilizar todos los escalones terapéuticos de la hipercalcemia, concluyendo finalmente con la exéresis quirúrgica del adenoma.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract There are numerous causes of hypercalcemia, which require a wide differential diagnosis, including parathyroid adenoma, a rare etiology in the pediatric age. Parathyroid adenoma produces an increase in parathyroid hormone (PTH) that triggers hypercalcemia by increasing gastrointestinal and tubular calcium absorption and increased bone resorption. The initial treatment aims to reduce the calcemia and the definitive treatment consists in the surgical excision of the adenoma, aided of monitoring of intraoperative levels of PTH. We present the case of a 10-year-old patient with a finding of hypercalcemia in the study of abdominal pain of long evolution, which associated vomiting, anorexia, polyuria and polydipsia. It is a hyperparathyroidism due to a parathyroid adenoma in which it was necessary to use all the therapeutic steps of hypercalcemia finally concluding with surgical excision of the adenoma.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Adenoma]]></kwd>
<kwd lng="es"><![CDATA[Hipercalcemia]]></kwd>
<kwd lng="es"><![CDATA[Hiperparatiroidismo]]></kwd>
<kwd lng="en"><![CDATA[Adenoma]]></kwd>
<kwd lng="en"><![CDATA[Hypercalcemia]]></kwd>
<kwd lng="en"><![CDATA[Hyperparathyroidism]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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