| Series | ||
|---|---|---|
| Title | Nineteen cases of primary hyperparathyroidism and kidney disease (CKD or urolithiasis) | |
| Publish Date | 2012/01 | |
| Author | Kunihiko Yoshiya | Department of Nephrology, Hara Genito−urinary Hospital |
| Author | Misato Takahashi | Department of Nephrology, Hara Genito−urinary Hospital |
| Author | Shouji Hara | Department of Urology, Hara Genito−urinary Hospital |
| Author | Tomihiko Yasufuku | Department of Urology, Hara Genito−urinary Hospital |
| Author | Akihiro Miya | Department of Surgery, Kuma Hospital |
| Author | Minoru Kihara | Department of Surgery, Kuma Hospital |
| Author | Mitsuyoshi Hirokawa | Department of Pathology, Kuma Hospital |
| Author | Akira Kobayashi | Kobayashi Clinic |
| [ Summary ] | [Case 1] Patient suspected of having primary hyperparathyroidism at hemodialysis induction [Case 2] Hemodialysis patient who had a surgical history related to primary hyperparathyroidism [Case 3] CKD patient who experienced PTX soon after dialysis implementation and developed primary hyperparathyroidism as well as secondary hyperparathyroidism [Case 4] Patient who was diagnosed as having primary hyperparathyroidism and enforced PTX during CKD stage 4 [Case 5] Patient who presented with acute renal failure due to primary hyperparathyroidism [Cases 6-19] fourteen cases of primary hyperparathyroidism and urolithiasis Nineteen cases of primary hyperparathyroidism with kidney disease are reported. Five cases were classified as CKD and 14 cases were considered to have been relapsed urolithiasis. All cases exhibited hypercalcemia. In cases of hypercalcemia with CKD or urolithiasis, we should suspect primary hyperparathyroidism. If we correctly diagnose these conditions and perform parathyroidectomies (PTX), there is a possibility that the renal dysfunction may be reduced. Nephrologists and urologists should be well informed concerning primary hyperparathyroidism because it tends to be misdiagnosed. |
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