Document Detail

Secondary hyperparathyroidism as a palpable intrathyroid parathyroid gland in a patient with hypophosphatemic osteomalacia.
MedLine Citation:
PMID:  16502117     Owner:  NLM     Status:  MEDLINE    
Secondary hyperparathyroidism is sometimes seen in patients with hypophosphatemic osteomalacia after long-term oral phosphate therapy. Parathyroidectomy is sometimes needed for the correction of hypercalcemia in these patients, and is rarely performed in patients without hypercalcemia. A 46-year-old female patient had hypophosphatemic osteomalacia with unknown cause and secondary hyperparathyroidism. A palpable neck mass developed after long-term oral phosphate therapy. An intrathyroid parathyroid gland was confirmed through partial thyroidectomy and parathyroidectomy. Renal phosphate wasting decreased strongly, and serum parathyroid hormone was in the normal range after the operation. A correction of secondary hyperparathyroidism may partially overcome hyperphosphaturia in some patients with hypophosphatemic rickets.
Deng-Huang Su; Kuo-Meng Liao; Ying-Chun Chang; Keh-Sung Tsai
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of bone and mineral metabolism     Volume:  24     ISSN:  0914-8779     ISO Abbreviation:  J. Bone Miner. Metab.     Publication Date:  2006  
Date Detail:
Created Date:  2006-02-27     Completed Date:  2006-06-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9436705     Medline TA:  J Bone Miner Metab     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  114-7     Citation Subset:  IM    
Department of Internal Medicine, Far Eastern Polyclinic, Taipei, Taiwan.
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MeSH Terms
Hyperparathyroidism, Secondary / complications,  diagnosis*
Hypophosphatemia / pathology
Kidney Tubules / pathology
Middle Aged
Osteomalacia / complications*,  pathology
Parathyroid Glands / pathology*
Parathyroid Hormone / blood
Phosphates / chemistry,  therapeutic use
Thyroid Gland / pathology
Reg. No./Substance:
0/Parathyroid Hormone; 0/Phosphates

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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