Pseudogout: an unusual and forgotten metabolic sequela of parathyroidectomy.
BACKGROUND
Parathyroidectomy is increasingly being performed by otolaryngology units. The well-known metabolic sequela is hypocalcaemia; it may be transient or permanent depending on presence and/or activity of any residual parathyroid tissue. A more unusual metabolic sequela of a parathyroidectomy is the development of pseudogout. We summarize the clinical presentation and pathophysiology of pseudogout following parathyroidectomy.


METHODS
We present a case of a 71-year-old woman who developed pseudogout following removal of a parathyroid adenoma.


RESULTS
Although infrequent, pseudogout predominantly occurs in the immediate postoperative period.


CONCLUSIONS
We propose that otolaryngology units should be more aware of the unusual sequelae of pseudogout following parathyroidectomy; it can lead to a prompt referral and commencement of early treatment.
Doshi
Jayesh
J
Department of Otolaryngology, Gloucestershire Royal Hospital, Gloucester, United Kingdom. jayeshdoshi@hotmail.com
Wheatley
Hugh
H
D000236:Adenoma / Q000601:surgery; D000368:Aged; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D002805:Chondrocalcinosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D010282:Parathyroid Neoplasms / Q000601:surgery; D016105:Parathyroidectomy / Q000009:adverse effects*; D011859:Radiography; D013396:Suction / Q000379:methods; D016896:Treatment Outcome; D014953:Wrist / Q000000981:diagnostic imaging
D000894:Anti-Inflammatory Agents, Non-Steroidal