title: Hyperparathyroidism in chronic kidney disease: complexities within the commonplace.
abstract: Secondary hyperparathyroidism in patients with chronic kidney disease (CKD) is common and usually caused by associated metabolic abnormalities, in particular, hypocalcaemia and hyperphosphataemia. Nevertheless, other causes of hyperparathyroidism can exist concurrently with CKD, challenging diagnostic interpretation and therapeutic intervention. We present four cases of hyperparathyroidism in patients with CKD that highlight some of these dilemmas.
authors.affiliation: Department of Renal Medicine, Eastern Health Clinical School, Monash University, Melbourne, Australia. Michael.Cai@easternhealth.org.au
authors.forename: Michael M
authors.initials: MM
authors.lastname: Cai
authors.forename: Lawrence P
authors.initials: LP
authors.lastname: McMahon
authors.forename: Edward R
authors.initials: ER
authors.lastname: Smith
authors.forename: David S
authors.initials: DS
authors.lastname: Williams
authors.forename: Stephen G
authors.initials: SG
authors.lastname: Holt
mesh_terms: D000328:Adult; D000368:Aged; D000069449:Cinacalcet; D015897:Comorbidity; D005260:Female; D006801:Humans; D006934:Hypercalcemia / Q000453:epidemiology; D006961:Hyperparathyroidism / Q000453:epidemiology* / Q000628:therapy; D006962:Hyperparathyroidism, Secondary / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009281:Naphthalenes / Q000627:therapeutic use; D051436:Renal Insufficiency, Chronic / Q000150:complications / Q000453:epidemiology*
chemical_list: D009281:Naphthalenes; D000069449:Cinacalcet