Completa recuperación de grave síndrome de hueso hambriento usando infusión crónica ambulatoria de calcio intravenoso. Caso clínico / Complete recovery of hungry bone syndrome using intravenous calcium infusion. Report of one case
Rev. méd. Chile
; 131(7): 779-784, jul. 2003.
Article
em Es
| LILACS
| ID: lil-356061
Biblioteca responsável:
CL12.1
ABSTRACT
We report a 29 years old woman with a highly symptomatic primary hyperparathyroidism. After parathyroid adenoma excision, she presented a prolonged and life threatening hypocalcemia, due to a severe hungry bone syndrome. Conventional treatment with oral and intravenous calcium and calcitriol supplementation failed to raise serum and urinary calcium or to relief symptoms. After one month, we indicated a continuous intravenous calcium infusion allowing, during 6 months, an adequate outpatient management. Initial T scores for bone density were markedly low (L2-L4 -3.14; femoral neck -3.07) and they increased 17 per cent after 18 days of calcium infusion. After 147 days of treatment bone density was normal, increasing by 61 per cent. The present case shows that the hungry bone syndrome can be a real risk for patients and a complex therapeutic challenge. With an appropriate calcium supply an early, fast and complete recovery of bone mass can be achieved.
Texto completo:
1
Índice:
LILACS
Assunto principal:
Doenças Ósseas Metabólicas
/
Regeneração Óssea
/
Cálcio
/
Hipocalcemia
Limite:
Adult
/
Female
/
Humans
Idioma:
Es
Revista:
Rev. méd. Chile
Assunto da revista:
MEDICINA
Ano de publicação:
2003
Tipo de documento:
Article