title: Primary hyperparathyroidism associated with hypocalcemia in a patient presenting with kidney disease.
abstract: 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.
authors.affiliation: 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
authors.forename: Sylvie
authors.initials: S
authors.lastname: Dusilova Sulkova
authors.forename: Jiri
authors.initials: J
authors.lastname: Horacek
authors.forename: Pavel
authors.initials: P
authors.lastname: Zivny
authors.forename: Pavla
authors.initials: P
authors.lastname: Rehorkova
authors.forename: Miloslav
authors.initials: M
authors.lastname: Podhola
authors.forename: Mirko
authors.initials: M
authors.lastname: Kadlec
authors.forename: Ctibor
authors.initials: C
authors.lastname: Povysil
mesh_terms: 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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