title: Transient post-operative thyrotoxicosis after parathyroidectomy.
abstract: BACKGROUND
  Secondary and tertiary hyperparathyroidism are features of chronic renal disease. Although pharmacological options are available, parathyroid surgery remains the treatment of choice in these patients with worsening renal osteodystrophy or hypercalcemia. The development of thyrotoxicosis after parathyroid surgery in these patients has been rarely reported.
  
  
  METHODS
  We report a 33 years old woman who developed transient symptomatic thyrotoxicosis following parathyroid surgery for tertiary hyperparathyroidism. Laboratory and imaging studies were consistent with postoperative hyperthyroidism due to thyroiditis.
  
  
  CONCLUSIONS
  Transient hyperthyroidism may occur after parathyroidectomy presumably due to a traumatic thyroiditis as a result of manipulation of the thyroid gland during surgery. As it is transient, thyrostatic therapy is not indicated but patients may require short-term treatment with beta-blockers for symptomatic relief.
authors.affiliation: Department of Endocrinology and Clinical Chemistry, University of Heidelberg, Heidelberg, Germany. gottfried_rudofsky@med.uni-heidelberg.de
authors.forename: Gottfried
authors.initials: G
authors.lastname: Rudofsky
authors.forename: Ingo A
authors.initials: IA
authors.lastname: Grafe
authors.forename: Cornelia
authors.initials: C
authors.lastname: Metzner
authors.forename: Christina
authors.initials: C
authors.lastname: Leowardi
authors.forename: Berthold
authors.initials: B
authors.lastname: Fohr
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D016105:Parathyroidectomy / Q000009:adverse effects*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D011877:Radionuclide Imaging; D013667:Technetium; D013960:Thyroid Function Tests; D013971:Thyrotoxicosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology
chemical_list: D013667:Technetium