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慢性肾衰竭患者严重甲状旁腺功能亢进的自发缓解

Spontaneous remission of severe hyperparathyroidism in chronic renal failure.

作者信息

Charhon S, Sellem C, Meunier P J, Traeger J

出版信息

Nephron. 1983;33(1):53-5. doi: 10.1159/000182905.

DOI:10.1159/000182905
PMID:6835455
Abstract

The sudden onset of hypocalcemia occurring in a patient undergoing hemodialysis led to the diagnosis of spontaneous remission of severe hyperparathyroidism. This was confirmed by a marked reduction in immunoreactive parathyroid hormone level. The hypocalcemia was controlled by 1,25-dihydroxycholecalciferol. A dramatic improvement of hyperparathyroid bone disease, as assessed by radiographic and histomorphometric examination, was observed.

摘要

一名正在接受血液透析的患者突然出现低钙血症,这导致了严重甲状旁腺功能亢进自发缓解的诊断。免疫反应性甲状旁腺激素水平显著降低证实了这一点。低钙血症通过1,25-二羟胆钙化醇得到控制。通过放射学和组织形态计量学检查评估,甲状旁腺骨病有显著改善。

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