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Submitted: 10 July 2012 Modified: 05 May 2017
HERDIN Record #: PCHRD12071014032147

Parathyroidectomy for refractory secondary hyperparathyroidism with severe bone disease.

Teodora Amor N. Evora,
Roberto C. Mirasol

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Advances in the medical management of secondary hyperparathyroidism due to renal failure have decreased the use of parathyroidectomy as a treatment option. However, some patients with end-stage renal disease still progress to refractory hyperparathyroidism and debilitating bone disease, for which parathyroidectomy may be warranted. We describe a case of a 35-year-old female on chronic hemodialysis who presented with bone pains, deformities, decrease in height and recurrent pathologic fractures. She had markedly elevated parathyroid hormone (PTH), vitamin D deficiency, persistent hyperphosphatemia and hypocalcemia despite therapeutic measures. Subtotal parathyroidectomy was done with eventual improvement of biochemical abnormalities, resolution of bone pains and healing of fractures.

Publication Type
Journal
Publication Sub Type
Case report
Title
Journal of the ASEAN Federation of Endocrine Societies
Frequency
Semi-Annual
Publication Date
May 2012
Volume
27
Issue
1
Page(s)
105-108
LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Library Box No. 116 Fulltext Print Format (Request Document)
http://www.asean-endocrinejournal.org Fulltext External Link (View)