Follicular Lymphoma Presenting with Hypoparathyroidism and Pulmonary Hypertension

Abstract

A 79-year-old woman was admitted to our hospital so we could study the aetiology of pulmonary hypertension that had been suggested in an echocardiogram. She also had severe hypocalcaemia with an inappropriately low parathyroid hormone level. Computed tomography showed a paratracheal (46×32 mm) adenopathy and multiple abdominal adenopathies, which were surgically biopsied and corresponded to follicular lymphoma. No other causes were found for the pulmonary hypertension that was considered to be associated with lymphoproliferative disease – pulmonary hypertension type 5. Hypoparathyroidism was considered secondary to parathyroid infiltration.