Hungry bones without hypocalcaemia following parathyroidectomy.
Hungry bone syndrome is a complication of parathyroid surgery where the correction of primary hyperparathyroidism is associated with rapid bone remineralization, causing severe and prolonged hypocalcaemia [1]. We present a case of hungry bones where although there was rapid bone formation, the serum calcium was maintained within normal limits owing to the development of secondary hyperparathyroidism.
Smith
Diarmuid
D
Department of Investigative Endocrinology, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland. d.smith@st-vincents.ie
Murray
Barbara Frances
BF
McDermott
Enda
E
O'Shea
Donal
D
McKenna
Malachi John
MJ
McKenna
Terence Joseph
TJ
D000236:Adenoma / Q000601:surgery; D000469:Alkaline Phosphatase / Q000097:blood; D001851:Bone Diseases, Metabolic / Q000209:etiology*; D016723:Bone Remodeling / Q000502:physiology; D002118:Calcium / Q000097:blood*; D003094:Collagen / Q000652:urine; D024042:Collagen Type I; D005260:Female; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000209:etiology; D006996:Hypocalcemia / Q000209:etiology; D008875:Middle Aged; D010282:Parathyroid Neoplasms / Q000601:surgery; D016105:Parathyroidectomy / Q000009:adverse effects*; D010455:Peptides / Q000652:urine
D024042:Collagen Type I; D010455:Peptides; C052929:collagen type I trimeric cross-linked peptide; D003094:Collagen; D000469:Alkaline Phosphatase; D002118:Calcium