Bigos S T, Neer R M, Goar W T
Am J Surg. 1976 Jul;132(1):83-9. doi: 10.1016/0002-9610(76)90296-8.
A case is reported of hypercalcemia persisting for seven years after kidney transplantation, with normocalcemia being achieved after subtotal parathyriodectomy. The finding of post-transplantation hyperparathyroidism of this extreme duration, in association with several other reports of hyperparathyroidism persisting for years after kidney transplantation, raises serious questions about the completeness of parathyroid involution after kidney transplantation. Extensive review of the literature reveals that little is really known about the natural history of parathyroid function and involution after kidney transplantation.
报告了1例肾移植后高钙血症持续7年的病例,次全甲状旁腺切除术后血钙恢复正常。这种极端持续时间的移植后甲状旁腺功能亢进的发现,以及其他几例肾移植后甲状旁腺功能亢进持续数年的报告,引发了关于肾移植后甲状旁腺退化完整性的严重问题。对文献的广泛回顾表明,对于肾移植后甲状旁腺功能和退化的自然史实际上知之甚少。