Department of Renal Medicine, Eastern Health Clinical School, Monash University, Melbourne, Australia.
Clin Med (Lond). 2012 Aug;12(4):333-7. doi: 10.7861/clinmedicine.12-4-333.
Secondary hyperparathyroidism in patients with chronic kidney disease (CKD) is common and usually caused by associated metabolic abnormalities, in particular, hypocalcaemia and hyperphosphataemia. Nevertheless, other causes of hyperparathyroidism can exist concurrently with CKD, challenging diagnostic interpretation and therapeutic intervention. We present four cases of hyperparathyroidism in patients with CKD that highlight some of these dilemmas.
慢性肾脏病(CKD)患者的继发性甲状旁腺功能亢进症很常见,通常是由代谢异常引起的,特别是低钙血症和高磷血症。然而,其他导致甲状旁腺功能亢进的原因也可能与 CKD 同时存在,这给诊断解读和治疗干预带来了挑战。我们报告了 4 例 CKD 患者的甲状旁腺功能亢进症病例,这些病例突出了其中的一些困境。