title: Anemia and thrombocytopenia improves after curative parathyroidectomy in a patient of primary hyperparathyroidism (PHPT).
abstract: BACKGROUND
  Hematological manifestations are less known in primary hyperparathyroidism (PHPT). Anemia has been recognized as a complication of PHPT in 5-30% of the individuals in various series.
  
  
  OBJECTIVE
  Our objective was to identify hematological improvement after the curative parathyroidectomy in a PHPT patient with anemia and thrombocytopenia.
  
  
  METHODS
  A 30-yr-old female presented with recurrent renal stone disease, anemia, and thrombocytopenia diagnosed as PHPT. Bone marrow examination revealed megakaryocytic thrombocytopenia. Two months after the curative parathyroidectomy, her symptoms and hematological parameters were improved.
  
  
  CONCLUSIONS
  Our finding showed a causal association of both anemia and thrombocytopenia with marrow fibrosis in a symptomatic PHPT patient because both anemia and thrombocytopenia improved after the curative parathyroidectomy.
authors.affiliation: Department of Endocrinology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India. bhadadask@rediffmail.com
authors.forename: Sanjay Kumar
authors.initials: SK
authors.lastname: Bhadada
authors.forename: Subbiah
authors.initials: S
authors.lastname: Sridhar
authors.forename: Jasmina
authors.initials: J
authors.lastname: Ahluwalia
authors.forename: Anil
authors.initials: A
authors.lastname: Bhansali
authors.forename: Pankaj
authors.initials: P
authors.lastname: Malhotra
authors.forename: Arunanshu
authors.initials: A
authors.lastname: Behera
authors.forename: Bhagwant Rai
authors.initials: BR
authors.lastname: Mittal
mesh_terms: D000328:Adult; D000740:Anemia / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000150:complications / Q000601:surgery*; D016105:Parathyroidectomy; D013921:Thrombocytopenia / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome