Primary hyperparathyroidism associated with hypocalcemia in a patient presenting with kidney disease.
Elevated serum parathyroid hormone (PTH) level together with hypocalcemia in chronic kidney disease usually suggests secondary hyperparathyroidism. However, primary hyperparathyroidism should also be considered, especially if concomitant vitamin D deficiency is suspected. We report a case of parathyroid adenoma associated with hypocalcemia and metabolic bone disease in a patient presenting with kidney disorder. The patient was successfully treated by parathyroidectomy that was preceded and followed by intensive calcium and vitamin D supplementation.
Dusilova Sulkova
Sylvie
S
Department of Gerontology and Metabolism, Division of Nephrology, Charles University in Prague, Faculty of Medicine and University Hospital in Hradec Kralove, Hradec Kralove, Czech Republic. sulkovas@gmail.com
Horacek
Jiri
J
Zivny
Pavel
P
Rehorkova
Pavla
P
Podhola
Miloslav
M
Kadlec
Mirko
M
Povysil
Ctibor
C
D000236:Adenoma / Q000150:complications / Q000601:surgery; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D049950:Hyperparathyroidism, Primary / Q000150:complications*; D006996:Hypocalcemia / Q000150:complications*; D007674:Kidney Diseases / Q000150:complications*; D010282:Parathyroid Neoplasms / Q000150:complications / Q000601:surgery; D016105:Parathyroidectomy; D014808:Vitamin D Deficiency / Q000150:complications*
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