Effect of parathyroidectomy on respiratory muscle strength in uremic myopathy.
We report the case of a uremic dialysis patient with severe secondary hyperparathyroidism, proximal muscle weakness and impaired respiratory muscle strength, the latter being assessed by maximal inspiratory pressure. After subtotal parathyroidectomy, we observed a marked improvement in respiratory muscle strength (27 vs. 87 cm H2O) and disappearance of proximal muscle weakness.
Nephrology Service, Hospital Seguridad Social, Jerez, Cadiz, Spain.
P
P
Gómez-Fernández
L
L
Sanchez Agudo
J L
JL
Miguel
M
M
Almaraz
M J
MJ
Vila Dupla
D000328:Adult; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000503:physiopathology*; D007676:Kidney Failure, Chronic / Q000503:physiopathology; D008176:Lung Volume Measurements; D008297:Male; D009468:Neuromuscular Diseases / Q000503:physiopathology*; D010280:Parathyroid Glands / Q000503:physiopathology / Q000601:surgery*; D006435:Renal Dialysis; D012131:Respiratory Insufficiency / Q000503:physiopathology*; D012132:Respiratory Muscles / Q000503:physiopathology; D014511:Uremia / Q000503:physiopathology*