Tratamiento quirúrgico del hiperparatiroidismo secundario a insuficiencia renal crónica / Surgical treatment of secondary hyperparathyroidism in hemodialysis: report of one case
Rev. chil. endocrinol. diabetes
;
1(4): 252-256, oct. 2008. ilus, tab
Article
in Spanish
| LILACS
| ID: lil-612487
ABSTRACT
Hyperparathyroidim secondary to chronic renal failure is a common form of presentation of renal osteodystrophy in patients on chronic hemodialysis. Treatment is based on the maintenance of adequate serum calcium and phosphate levels. However, when hyperparathyroid hyperplasia acquires a nodular form, it becomes refractory to medical treatment and total parathyroidectomy is indicated. We report a 37 years old male on hemodialysis, with a progressive secondary hyperparathyroidism that required the excision of the two superior parathyroid glands at the age of 29.Hyperparathyroidsm was not modified, serum PTH remained excessively high and the patient had a non traumatic femoral fracture. Therefore he was subjected to the excision of the two remaining parathyroid glands. During the postoperative period he had a severe hungry bone syndrome, but was discharged in good conditions, 15 days after the operation.
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Index:
LILACS (Americas)
Main subject:
Renal Insufficiency, Chronic
/
Hyperparathyroidism, Secondary
Type of study:
Etiology study
Limits:
Adult
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. chil. endocrinol. diabetes
Journal subject:
Endocrinology
Year:
2008
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Pontificia Universidad Católica de Chile/CL
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