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KMID : 1011720190120010054
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International Journal of Thyroidology
2019 Volume.12 No. 1 p.54 ~ p.57
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A Case Report: Total Parathyroidectomy with Autotransplantation for Secondary Hyperparathyroidism
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Kim Sung-Hoon
Seo Da-Hea
Hwang Seong-Mun
Kim Ji-Won
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Abstract
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Secondary hyperparathyroidism (HPT) usually result from parathyroid gland hyperplasia that produces excess parathyroid hormone (PTH). Decreased renal function leads to elevate serum phosphate levels and reduce vitamin D production, which results in hypocalcemia. Skeletal resistance to PTH results in persistently and frequently extremely elevated PTH levels and renal osteopathy. Treatment of choice for secondary HPT is medical management including calcitriol and vitamin D. However, for some cases in calciphylaxis and the failure including PTH >800 pg/mL or osteoporosis under maximal medical management surgical intervention could be an alternative option. We described a case of 47-year-old woman with surgical intervention for secondary hyperparathyroidism.
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KEYWORD
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Secondary hyperparathyroidism, Parathyroidectomy, Autotransplantation
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