Acta clinica Croatica, Vol. 45 No. 2, 2006.
Other
Recurrent Hyperparathyroidism: Case Report
Branko Bečejac
Mira Misjak
Velimir Altabas
Maja Berković
Gorana Mirošević
Milan Vrkljan
Abstract
A 57-year-old man with a history of primary hyperparathyroidism, consequential chronic renal failure and associated chronic Hashimoto.s thyroiditis presented with recurrent hypercalcemia. Hypercalcemia persisted despite three resections of enlarged parathyroid glands and multiple sclerosations of the remaining parathyroid tissue. The possible causes of persisting hypercalcemia include unrecognized asymmetric parathyroid hyperplasia, multiple parathyroid adenomas, however, parathyromatosis as a complication of parathyroid resection could not be ruled out. Dispersion of parathyroid tissue and growth of multiple parathyroid nodules could lead to primary hyperparathyroidism. With intermittent parenteral pamidronate normocalcemia was temporarily achieved, although fourth resection of parathyroid tissue and subtotal thyroidectomy eventually led to normocalcemia and normal parathyroid hormone levels in this patient.
Keywords
Hyperparathyroidism - complications; Hyperparathyroidism - pathology; Hyperparathyroidism - surgery; Hyperplasia; Recurrence; Adenoma - complications; Calcium - blood; Case Report
Hrčak ID:
14057
URI
Publication date:
1.6.2006.
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