Desperate Times Call for Desperate Measures: Use of Continuous Subcutaneous 1-34 PTH Infusion for Postsurgical Hypoparathyroidism
| Autor: | Sheree Bryan, Taylor Cater, Oksana Symczyk, Yadel Couso, Adnan Haider |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
Calcitriol business.industry Continuous infusion Endocrinology Diabetes and Metabolism Graves' disease medicine.medical_treatment Thyroidectomy Case Report 030209 endocrinology & metabolism RC648-665 medicine.disease Diseases of the endocrine glands. Clinical endocrinology 03 medical and health sciences 030104 developmental biology 0302 clinical medicine Hypoparathyroidism Quality of life Anesthesia Pill medicine Dosing business medicine.drug |
| Zdroj: | Case Reports in Endocrinology Case Reports in Endocrinology, Vol 2021 (2021) |
| ISSN: | 2090-651X 2090-6501 |
| Popis: | Objective. This case highlights use of 1-34 PTH continuous infusion in a patient with postsurgical hypoparathyroidism. Method. Clinical presentation and biochemical profile were monitored before and after 1-34 PTH infusion, with notable reduction in pill burden in a patient with postsurgical hypoparathyroidism. Results. We present a case of postsurgical hypoparathyroidism following thyroidectomy for Graves disease. The patient was requiring a total of 34 pills daily and, despite medication compliance, her clinical and biochemical control was unsatisfactory. Following initiation of 1-34 PTH in the form of a subcutaneous pump, we were able to stop all calcium supplementation and reduce calcitriol to 0.5 mcg daily. Her current biochemical control as well as quality of life improved significantly on CSPI, calcitriol, and a daily serving of dietary calcium. Conclusion. This case highlights the use of 1-34 PTH either as twice-daily dosing or continuous subcutaneous infusion for adult patients with hypoparathyroidism. |
| Databáze: | OpenAIRE |
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