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A Case Report: Total Parathyroidectomy with Autotransplantation for Secondary Hyperparathyroidism
Int J Thyroidol 2019;12(1):54-57
Published online May 30, 2019;  https://doi.org/10.11106/ijt.2019.12.1.54
© 2019 Korean Thyroid Association.

Sung Hoon Kim1, Da Hea Seo2, Seun Deuk Hwang3 and Ji Won Kim1

Departments of Otolaryngology1, Endocrinology and Metabolism2, Nephrology and Hypertension3, Inha University College of Medicine, Incheon, Korea
Correspondence to: Ji Won Kim, MD, Department of Otolaryngology, Inha University College of Medicine, 27 Inhang-ro, Jung-gu, Incheon 22332, Korea
Tel: 82-32-890-3028, Fax: 82-32-890-3580, E-mail: hopefuljw@gmail.com
Received April 4, 2019; Revised April 29, 2019; Accepted May 7, 2019.
This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Secondary hyperparathyroidism (HPT) usually result from parathyroid gland hyperplasia that produces excess parathyroid hormone (PTH). Decreased renal function leads to elevate serum phosphate levels and reduce vitamin D production, which results in hypocalcemia. Skeletal resistance to PTH results in persistently and frequently extremely elevated PTH levels and renal osteopathy. Treatment of choice for secondary HPT is medical management including calcitriol and vitamin D. However, for some cases in calciphylaxis and the failure including PTH >800 pg/mL or osteoporosis under maximal medical management surgical intervention could be an alternative option. We described a case of 47-year-old woman with surgical intervention for secondary hyperparathyroidism.
Keywords : Secondary hyperparathyroidism, Parathyroidectomy, Autotransplantation