Spontaneous improvement of severe neonatal hyperparathyroidism after failed total parathyroidectomy.
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.
Al Shaikh
H A
HA
Pediatric Endocrinology Unit, Department of Child Health, Royal Hospital, PO Box 1331, Sultanate of Oman, Seeb 111, Oman. alqubtan@yahoo.com
Bappal
B
B
Nair
R
R
Al Khusaiby
S
S
D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000601:surgery*; D007231:Infant, Newborn; D016105:Parathyroidectomy; D012075:Remission, Spontaneous; D012720:Severity of Illness Index; D017211:Treatment Failure