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Prolonged hypophosphatemia following parathyroidectomy in chronic hemodialysis patients
Joint Authors
Altun, Eda
Kaya, Bulent
Bilal, Mustafa
Paydas, Saime
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 26, Issue 5 (30 Sep. 2015), pp.976-979, 4 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2015-09-30
Country of Publication
Saudi Arabia
No. of Pages
4
Main Subjects
Topics
- Patients
- الغدة الجار درقية
- Metabolism
- Hemodialysis
- Excision(Surgery)
- Complications(Medicine)
- Kidney failure
- Diagnosis
- Hypophosphatemia
Abstract EN
Secondary hyperparathyroidism (SHPT) is a common problem in patients with end-stage renal disease.
In cases with severe and resistant SHPT, surgical parathyroidectomy (PTX) is recommended.
Hungry bone syndrome (HBS) following surgical PTX is most often associated with hypocalcemia and hypophosphatemia.
The mechanisms for the HBS are not clear, and a method for its prevention has not been established.
We present three hemodialysis patients with persistant hypophosphatemia after PTX.
In our parathyroidectomized patients, hypocalcemia could be corrected with calcium and vitamin D treatment, but hypophosphatemia continued for eight months in one patient and in two other patients until the last visit (10 and 2 months, respectively).
Predisposing factors such as old age, diabetes mellitus and parathyroid adenoma were not found in our patients.
All three patients were younger (<35 years old) and anuric.
Hemodialysis durations were seven, three and two years.
In summary, HBS presented with hypocalcemia, and especially hypophosphatemia cannot be developed uncommonly and may persist for a long time following PTX in HD patients.
American Psychological Association (APA)
Altun, Eda& Paydas, Saime& Kaya, Bulent& Bilal, Mustafa. 2015. Prolonged hypophosphatemia following parathyroidectomy in chronic hemodialysis patients. Saudi Journal of Kidney Diseases and Transplantation،Vol. 26, no. 5, pp.976-979.
https://search.emarefa.net/detail/BIM-608795
Modern Language Association (MLA)
Altun, Eda…[et al.]. Prolonged hypophosphatemia following parathyroidectomy in chronic hemodialysis patients. Saudi Journal of Kidney Diseases and Transplantation Vol. 26, no. 5 (Sep. 2015), pp.976-979.
https://search.emarefa.net/detail/BIM-608795
American Medical Association (AMA)
Altun, Eda& Paydas, Saime& Kaya, Bulent& Bilal, Mustafa. Prolonged hypophosphatemia following parathyroidectomy in chronic hemodialysis patients. Saudi Journal of Kidney Diseases and Transplantation. 2015. Vol. 26, no. 5, pp.976-979.
https://search.emarefa.net/detail/BIM-608795
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 979
Record ID
BIM-608795