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
en Es
| LILACS
| ID: lil-612487
Biblioteca responsable:
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.
Buscar en Google
Colección:
01-internacional
Base de datos:
LILACS
Asunto principal:
Insuficiencia Renal Crónica
/
Hiperparatiroidismo Secundario
Tipo de estudio:
Etiology_studies
Límite:
Adult
/
Humans
/
Male
Idioma:
Es
Revista:
Rev. chil. endocrinol. diabetes
Asunto de la revista:
ENDOCRINOLOGIA
Año:
2008
Tipo del documento:
Article
País de afiliación:
Chile
Pais de publicación:
Chile