Maxillofacial Enlargement in Secondary Hyperparathyroidism Successfully Treated by Limited Parathyroidectomy and Paricalcitol / 대한신장학회지
Korean Journal of Nephrology
; : 671-675, 2011.
Article
em En
| WPRIM
| ID: wpr-162483
Biblioteca responsável:
WPRO
ABSTRACT
Maxillary enlargement is a rare complication of secondary hyperparathyroidism (SHPT). A 35-year-old Korean man undergoing chronic hemodialysis presented with a painless enlargement involving the maxilla and mandible. Plain radiography and CT scan showed bony expansion at the maxilla and mandible with multiple radiolucency. Serum intact parathyroid hormone (iPTH) was >1,600 pg/mL. Tc-99m sestamibi (MIBI) parathyroid scan and neck sonogram were compatible with SHPT. He underwent limited parathyroidectomy and commenced a course of paricalcitol. Fifteen months after surgery, maxillary enlargement and bony resorptions involving both hands markedly improved. Thirty-six months after the surgery, the serum iPTH level was 109.3 pg/mL. This is the first report in Korea documenting a patient with maxillary enlargement in SHPT who was successfully treated with limited parathyroidectomy and paricalcitol.
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Texto completo:
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Índice:
WPRIM
Assunto principal:
Hormônio Paratireóideo
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Distúrbio Mineral e Ósseo na Doença Renal Crônica
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Ergocalciferóis
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Paratireoidectomia
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Diálise Renal
/
Mãos
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Hiperparatireoidismo
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Hiperparatireoidismo Secundário
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Coreia (Geográfico)
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Mandíbula
Limite:
Adult
/
Humans
País/Região como assunto:
Asia
Idioma:
En
Revista:
Korean Journal of Nephrology
Ano de publicação:
2011
Tipo de documento:
Article