کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3852843 | 1248826 | 2013 | 7 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Hiperparatiroidismo autónomo en paciente renal crónico estadio 3: valoración clÃnica a propósito de un caso
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کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیماریهای کلیوی
پیش نمایش صفحه اول مقاله
چکیده انگلیسی
Primary -or autonomous- hyperparathyroidism is clinically characterized by the presence of non-pharmacological hypercalcemia with increased or inappropriately normal parathyroid hormone (PTH) levels. We hereby report the case of a 55-year-old woman with chronic kidney disease (CKD) stage 3bA3 who was diagnosed with autonomous hyperparathyroidism. We would like to stress that autonomous hyperparathyroidism is a not infrequent development in CKD patients, that its diagnosis is biochemical and that imaging techniques are only useful to localize hyperfunctioning parathyroid tissue but are not essential for diagnosis. We also review the current surgical criteria and therapeutic alternatives. Among these alternatives, medical treatment with cinacalcet probably deserves special consideration in several patient subgroups that are not candidates for surgery.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Diálisis y Trasplante - Volume 34, Issue 4, OctoberâDecember 2013, Pages 171-177
Journal: Diálisis y Trasplante - Volume 34, Issue 4, OctoberâDecember 2013, Pages 171-177
نویسندگان
Iara Dasilva Santos, Mónica MarÃa Furlano, César Emilio Ruiz GarcÃa, MarÃa Jesús Lloret Cora, MarÃa del Carmen Guevara, Yaima Barreiro Delgado, Nadia Ayasreh Fierro, José Aurelio BallarÃn, Jordi Bover Sanjuán,