[Post-parathyroidectomy pseudogout in primary hyperparathyroidism].
We report two cases of pseudogout after parathyroidectomy by primary hyperparathyroidism. The pseudogout in each instance developed within 48 hours after parathyroid adenoma resection. Calcium supplement therapy, nonsteroidal anti-inflammatory drugs and colchicine (1 mg/day) suppressed the acute attack. The chondrocalcinosis is often asymptomatic or undiagnosed, for that, preoperative radiological studies of the knees, wrists and pelvis are recommended to screen for chondrocalcinosis. We advocate also, therapy with colchicine (1 mg/day, oral) in the prophylaxis of postoperative pseudogout.
Servicio de Reumatología, Hospital Universitario de Canarias, Facultad de Medicina, Universidad de La Laguna, La Laguna, Santa Cruz de Tenerife.
M A
MA
Gantes Mora
B
B
Rodríguez Lozano
E
E
Trujillo Martín
S
S
Bustabad Reyes
T
T
González García
D000236:Adenoma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D000368:Aged; D002805:Chondrocalcinosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000517:prevention & control; D003078:Colchicine / Q000627:therapeutic use; D005260:Female; D006074:Gout Suppressants / Q000627:therapeutic use; D006801:Humans; D006961:Hyperparathyroidism / Q000209:etiology*; D007719:Knee Joint / Q000000981:diagnostic imaging; D008875:Middle Aged; D010280:Parathyroid Glands / Q000473:pathology; D010282:Parathyroid Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D016105:Parathyroidectomy / Q000009:adverse effects*; D011183:Postoperative Complications; D011859:Radiography; D013997:Time Factors
D006074:Gout Suppressants; D003078:Colchicine