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Case Reports
. 2012 Aug;12(4):333-7.
doi: 10.7861/clinmedicine.12-4-333.

Hyperparathyroidism in chronic kidney disease: complexities within the commonplace

Michael M Cai  1 , Lawrence P McMahon, Edward R Smith, David S Williams, Stephen G Holt
Affiliations
Case Reports

Hyperparathyroidism in chronic kidney disease: complexities within the commonplace

Michael M Cai et al. Clin Med (Lond). 2012 Aug.

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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Figures

Fig 1.
Fig 1.
99Tc-Sestamibi scan showing an intense focus of uptake in the region of the left lower pole of the thyroid (Case 1).
Fig 2.
Fig 2.
(a) ultrasound showing a very large parathyroid mass. (b) at parathyroidectomy, the mass was easily localized and removed.
Fig 3.
Fig 3.
Renal transplant biopsy showing nephrocalcinosis with interstitial calcium deposit (arrow) and inflammatory changes.
See this image and copyright information in PMC

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References

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