[Parathyroid and bone. Secondary hyperparathyroidism after renal transplantation].
Serum parathyroid hormone concentrations decrease progressively during the first 3 to 6 month after successful renal transplantation. However 1 year after transplantation, persistent hyperparathyroidism is common. Hypercalcemia due to persistent hyperparathyroidism cause graft dysfunction and cardiovascular calcification. Renal transplant recipients with persistent hyperparathyroidism need treatment with vitamin D and calcium, in some cases parathyroidectomy has to be considered.
Wakayama Medical University, Division of Nephrology and Blood Purification Medicine.
Shigeo
S
Negi
Masanori
M
Okamoto
Takashi
T
Shigematsu
D002114:Calcinosis / Q000209:etiology; D002118:Calcium / Q000627:therapeutic use; D002318:Cardiovascular Diseases / Q000209:etiology; D002762:Cholecalciferol / Q000627:therapeutic use; D006801:Humans; D006934:Hypercalcemia / Q000209:etiology; D006962:Hyperparathyroidism, Secondary / Q000209:etiology* / Q000628:therapy; D016030:Kidney Transplantation; D016105:Parathyroidectomy
D002762:Cholecalciferol; D002118:Calcium