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
em Es
| LILACS
| ID: lil-612487
Biblioteca responsável:
CL1.1
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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Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Insuficiência Renal Crônica
/
Hiperparatireoidismo Secundário
Tipo de estudo:
Etiology_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
Es
Revista:
Rev. chil. endocrinol. diabetes
Assunto da revista:
ENDOCRINOLOGIA
Ano de publicação:
2008
Tipo de documento:
Article
País de afiliação:
Chile
País de publicação:
Chile