title: [Hungry bone syndrome after surgical treatment of severe primary hyperparathyroidism: about 3 cases].
abstract: Persistant hypocalcemia occurring after surgical treatment of severe primary hyperparathyroidism may be due to transient or permanent hypoparathyroidism but also to a bone disease. We report three cases of hypocalcemia after surgery of large parathyroid adenoma or hyperplasia in women. Plasma calcium, phosphate and PTH levels are in accordance with  Hungry Bone Syndrome  (HBS). HBS is related to both excessive bone demineralization and turn over. It is a major importance to distinguish HBS from surgical hypoparathyroidism in order to start early the appropriate treatment given for a long period.
authors.affiliation: Service de médecine interne et nutrition, CHU Hautepierre, 67100 Strasbourg, France.
authors.forename: P
authors.initials: P
authors.lastname: Boeckler
authors.forename: F
authors.initials: F
authors.lastname: Grunenberger
authors.forename: A
authors.initials: A
authors.lastname: Ruellan
authors.forename: F
authors.initials: F
authors.lastname: Vignon
authors.forename: J C
authors.initials: JC
authors.lastname: Weber
authors.forename: Ph
authors.initials: P
authors.lastname: Bachellier
authors.forename: D
authors.initials: D
authors.lastname: Jaeck
authors.forename: J L
authors.initials: JL
authors.lastname: Schlienger
mesh_terms: D000236:Adenoma / Q000601:surgery; D000328:Adult; D000368:Aged; D001847:Bone Diseases / Q000175:diagnosis / Q000209:etiology*; D002118:Calcium / Q000097:blood; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000150:complications / Q000601:surgery*; D006965:Hyperplasia; D006996:Hypocalcemia / Q000209:etiology*; D007700:Kinetics; D010280:Parathyroid Glands / Q000473:pathology; D010281:Parathyroid Hormone / Q000097:blood; D010282:Parathyroid Neoplasms / Q000601:surgery; D010710:Phosphates / Q000097:blood
chemical_list: D010281:Parathyroid Hormone; D010710:Phosphates; D002118:Calcium
vernacular_title: Hungry bone syndrome  après traitement de l'hyperparathyroïdie primaire sévère.