Barzilay J, Rolla A R
Department of Medicine, New England Deaconess Hospital, Boston, MA.
Am J Kidney Dis. 1992 Jul;20(1):90-3. doi: 10.1016/s0272-6386(12)80324-6.
A patient with erosive spondyloarthropathy (ESA) and primary hyperparathyroidism is described. In the past, ESA has been described exclusively in patients with chronic renal failure (CRF) and has been attributed to crystal deposition, amyloidosis, severe secondary hyperparathyroidism, or other abnormalities of chronic renal failure. This patient with normal renal function suggests that secondary hyperparathyroidism plays the major pathogenetic role in ESA in patients with renal failure.
