title: Spontaneous improvement of severe neonatal hyperparathyroidism after failed total parathyroidectomy.
abstract: We report an interesting case of severe neonatal hyperparathyroidism (SNHP) treated by sub-total parathyroidectomy, as her fourth parathyroid gland could not be identified. The clinical course changed over time to a more benign course resembling familial hypocalciuric hypercalcemia. This indicates that the natural course of SNHP is probably gradual spontaneous improvement, if patient survives the first few months of life.
authors.affiliation: Pediatric Endocrinology Unit, Department of Child Health, Royal Hospital, PO Box 1331, Sultanate of Oman, Seeb 111, Oman. alqubtan@yahoo.com
authors.forename: H A
authors.initials: HA
authors.lastname: Al Shaikh
authors.forename: B
authors.initials: B
authors.lastname: Bappal
authors.forename: R
authors.initials: R
authors.lastname: Nair
authors.forename: S
authors.initials: S
authors.lastname: Al Khusaiby
mesh_terms: D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000601:surgery*; D007231:Infant, Newborn; D016105:Parathyroidectomy; D012075:Remission, Spontaneous; D012720:Severity of Illness Index; D017211:Treatment Failure