<?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>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032024000400335</article-id>
<article-id pub-id-type="doi">10.35366/117530</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Crisis hipercalcémica en una paciente geriátrica con adenoma paratiroideo de recién diagnóstico]]></article-title>
<article-title xml:lang="en"><![CDATA[Hypercalcemic crisis in a geriatric patient with newly diagnosed parathyroid adenoma]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Solís Pérez]]></surname>
<given-names><![CDATA[Rufino de Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Baas Argáez]]></surname>
<given-names><![CDATA[Pamela Irene]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Franco Navarro]]></surname>
<given-names><![CDATA[Alfonso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Segura Rangel]]></surname>
<given-names><![CDATA[Polette Gemelli]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leal Mora]]></surname>
<given-names><![CDATA[David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Fray Antonio Alcalde Guadalajara Servicio de Geriatría ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2024</year>
</pub-date>
<volume>22</volume>
<numero>4</numero>
<fpage>335</fpage>
<lpage>337</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032024000400335&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032024000400335&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032024000400335&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El hiperparatiroidismo primario es un trastorno hipercalcémico que implica una actividad excesiva de las glándulas paratiroides. La crisis hipercalcémica es una complicación poco común que puede presentarse con alteración del estado de alerta. Mujer de 83 años independiente para actividades básicas, dependencia leve para actividades instrumentadas, deterioro cognitivo de dos meses de evolución, dolor crónico. Acude por estupor y crisis convulsivas tónico-clónicas generalizadas súbitas. En exámenes de laboratorio iniciales resaltan niveles de calcio sérico elevados. Se realiza gammagrama paratiroideo encontrando adenoma paratiroideo izquierdo. Presenta disminución en los niveles de calcio y mejoría del estado neurológico con la implementación del manejo médico. Se implementa tratamiento médico para disminuir niveles de calcio, con lo que se logra mejoría del estado neurológico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Primary hyperparathyroidism is a hypercalcemic disorder that involves excessive activity of the parathyroid glands. Hypercalcemic crises are rare complications that can result from altered alertness. 83-year-old woman independent for basic activities, mild dependence on instrumented activities, cognitive impairment of 2 months of evolution, chronic pain. He came due to a stupor and sudden generalized tonic-clonic seizures. Initial laboratory tests revealed elevated serum calcium levels. A parathyroid mammogram was performed, and a left parathyroid adenoma was found. Presents a decrease in calcium levels and improvement in neurological status with the implementation of medical management.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[crisis hipercalcémica]]></kwd>
<kwd lng="es"><![CDATA[hiperparatiroidismo]]></kwd>
<kwd lng="es"><![CDATA[adulto mayor]]></kwd>
<kwd lng="en"><![CDATA[hypercalcemic crisis]]></kwd>
<kwd lng="en"><![CDATA[hyperparathyroidism]]></kwd>
<kwd lng="en"><![CDATA[elderly]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jaisinghani]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Sharma]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Primary hyperparathyroidism in the geriatric population: a case report and mini literature review]]></article-title>
<source><![CDATA[Clin Case Rep]]></source>
<year>2022</year>
<volume>10</volume>
<numero>11</numero>
<issue>11</issue>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Agrawal]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Habib]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Emanuele]]></surname>
<given-names><![CDATA[NV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neurologic disorders of mineral metabolism and parathyroid disease]]></article-title>
<source><![CDATA[Handb Clin Neurol]]></source>
<year>2014</year>
<page-range>737-48</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ahmad]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Kuraganti]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Steenkamp]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hypercalcemic crisis: a clinical review]]></article-title>
<source><![CDATA[Am J Med]]></source>
<year>2015</year>
<volume>128</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>239-45</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
