Department of Gerontology and Metabolism, Division of Nephrology, Charles University in Prague, Faculty of Medicine and University Hospital in Hradec Kralove, Hradec Kralove, Czech Republic.
Int Urol Nephrol. 2010 Sep;42(3):835-9. doi: 10.1007/s11255-010-9743-6. Epub 2010 May 7.
Elevated serum parathyroid hormone (PTH) level together with hypocalcemia in chronic kidney disease usually suggests secondary hyperparathyroidism. However, primary hyperparathyroidism should also be considered, especially if concomitant vitamin D deficiency is suspected. We report a case of parathyroid adenoma associated with hypocalcemia and metabolic bone disease in a patient presenting with kidney disorder. The patient was successfully treated by parathyroidectomy that was preceded and followed by intensive calcium and vitamin D supplementation.
血清甲状旁腺激素（PTH）水平升高伴慢性肾脏病低钙血症通常提示为继发性甲状旁腺功能亢进症。然而，也应考虑原发性甲状旁腺功能亢进症，尤其是在怀疑同时存在维生素 D 缺乏的情况下。我们报告了一例甲状旁腺腺瘤相关的低钙血症和代谢性骨病的病例，该患者因肾脏疾病就诊。甲状旁腺切除术治疗该患者获得成功，术后进行了积极的钙和维生素 D 补充。
