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Primary hyperparathyroidism associated with hypocalcemia in a patient presenting with kidney disease

. 2010 Sep ; 42 (3) : 835-9. [epub] 20100507

Language English Country Netherlands Media print-electronic

Document type Case Reports, Journal Article, Research Support, Non-U.S. Gov't

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.

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