Use of Recombinant Human Parathyroid Hormone to Treat Hungry Bone Syndrome in Hemodialysis Patient
| Autor: | Khalid Dahmani, Nicole Gebran, M. Budruddin, Fatima Kendi, Chaaban Ahmed, Ali El Houni, Clarisse Barcebal |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Parathyroidectomy
medicine.medical_specialty medicine.medical_treatment Parathyroid hormone lcsh:Medicine 030209 endocrinology & metabolism Case Report hypocalcemia Gastroenterology parathyroidectomy 030218 nuclear medicine & medical imaging hyperparathyroidism 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Vitamin D and neurology Teriparatide Lupus Erythematosus Systemic parathyroid hormone teriparatide business.industry lcsh:R vitamin d General Medicine systemic medicine.disease kidney failure chronic Brown tumor bone diseases renal dialysis Kidney Failure Chronic Secondary hyperparathyroidism Hyperparathyroidism Secondary Hemodialysis business secondary lupus erythematosus Hormone medicine.drug |
| Zdroj: | Oman Medical Journal, Vol 35, Iss 4, Pp e164-e164 (2020) Oman Medical Journal |
| ISSN: | 2070-5204 |
| Popis: | We report the case of a 35-year-old female with end-stage renal disease on hemodialysis for nine years. She was diagnosed with secondary hyperparathyroidism complicated with a brown tumor in the mandible. After medical therapy failed, she underwent total parathyroidectomy (PTX), which was complicated by severe and prolonged hypocalcemia (hungry bone syndrome). Post-surgery, she required prolonged and frequent intravenous calcium and a high dose of vitamin D resulting in frequent admission with symptomatic hypocalcemia. Her serum magnesium was noted to be in the normal range. She continued to be hypocalcemic for nearly eight months post-surgery despite the intensive treatment. Recombinant human parathyroid hormone (teriparatide) 20 mg daily resulted in normalization of calcium within two weeks. The use of parathyroid hormone proved to be an effective treatment approach in this case. Proper pre-operative preparation and subtotal PTX with an adequate dose of vitamin D and calcium supplement may have been a rational option for this case. |
| Databáze: | OpenAIRE |
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