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[原发性甲状旁腺功能亢进症甲状旁腺切除术后假性痛风]

[Post-parathyroidectomy pseudogout in primary hyperparathyroidism].

作者信息

Gantes Mora M A, Rodríguez Lozano B, Trujillo Martín E, Bustabad Reyes S, González García T

机构信息

Servicio de Reumatología, Hospital Universitario de Canarias, Facultad de Medicina, Universidad de La Laguna, La Laguna, Santa Cruz de Tenerife.

出版信息

An Med Interna. 1998 Jul;15(7):376-8.

PMID:9710990
Abstract

We report two cases of pseudogout after parathyroidectomy by primary hyperparathyroidism. The pseudogout in each instance developed within 48 hours after parathyroid adenoma resection. Calcium supplement therapy, nonsteroidal anti-inflammatory drugs and colchicine (1 mg/day) suppressed the acute attack. The chondrocalcinosis is often asymptomatic or undiagnosed, for that, preoperative radiological studies of the knees, wrists and pelvis are recommended to screen for chondrocalcinosis. We advocate also, therapy with colchicine (1 mg/day, oral) in the prophylaxis of postoperative pseudogout.

摘要

我们报告了两例因原发性甲状旁腺功能亢进症行甲状旁腺切除术后发生假性痛风的病例。每例假性痛风均在甲状旁腺腺瘤切除术后48小时内出现。补钙治疗、非甾体抗炎药和秋水仙碱(1毫克/天)可抑制急性发作。软骨钙质沉着症通常无症状或未被诊断出来,因此,建议术前对膝盖、手腕和骨盆进行放射学检查以筛查软骨钙质沉着症。我们还主张使用秋水仙碱(1毫克/天,口服)预防术后假性痛风。

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