title: Post-transplantation tertiary hyperparathyroidism.
abstract: Tertiary hyperparathyroidism is intended as a state of excessive autonomous excretion of parathyroid hormone after longstanding secondary hyperparathyroidism. It is a condition of a severe hyperparathyroidism that persists in the renal recipient despite a successful transplantation. The high levels of parathyroid hormone lead to a worsening of graft function accompanied by systemic symptoms. This article reviews the main aspects related to tertiary hyperparathyroidism from mechanism of pathogenesis to prevention and treatment, suggesting some indications about the best management of patients on a waiting list for kidney transplant.
authors.affiliation: Department of Surgical and Oncological Disciplines, Università degli Studi di Palermo, Viadel Vespro 129, Palermo, Italy.
authors.forename: Maria Concetta
authors.initials: MC
authors.lastname: Gioviale
authors.forename: Maurizio
authors.initials: M
authors.lastname: Bellavia
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Damiano
authors.forename: Attilio Ignazio
authors.initials: AI
authors.lastname: Lo Monte
mesh_terms: D006801:Humans; D006961:Hyperparathyroidism / Q000209:etiology* / Q000517:prevention & control; D016030:Kidney Transplantation / Q000009:adverse effects*; D014850:Waiting Lists