Cai MM, McMahon LP, Smith ER, Williams DS, Holt SG. Hyperparathyroidism in chronic kidney disease: complexities within the commonplace.
Clin Med (Lond) 2012;
12:333-7. [PMID:
22930877 PMCID:
PMC4952121 DOI:
10.7861/clinmedicine.12-4-333]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Secondary hyperparathyroidism in patients with chronic kidney disease (CKD) is common and usually caused by associated metabolic abnormalities, in particular, hypocalcaemia and hyperphosphataemia. Nevertheless, other causes of hyperparathyroidism can exist concurrently with CKD, challenging diagnostic interpretation and therapeutic intervention. We present four cases of hyperparathyroidism in patients with CKD that highlight some of these dilemmas.
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