Surgical treatment of persistent hyperparathyroidism after renal transplantation
作者： Frédéric Triponez , Orlo H. Clark , Yves Vanrenthergem , Pieter Evenepoel
DOI: 10.1097/SLA.0B013E3181728A2D
关键词:
摘要: The patient is a 35-year-old man with polycystic kidney disease. He has been on dialysis for 5 years and received graft 3 months ago. During the course of dialysis, he presented severe secondary hyperparathyroidism (HPT) (parathyroid hormone [PTH]) up to 100 times upper limit normal without hypercalcemia two parathyroid glands measuring more than 1 cm at ultrasound examination. did not undergo parathyroidectomy (PTX) because HPT could be controlled vitamin D analogues calcimimetics. Three after transplantation, presents tertiary hypercalcemia, 10.4 mg/dl (2.6 mmol/l), high levels PTH (30 normal). His bone density scan shows osteopenia.
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