Abnormal parathyroid gland function in CKD

2010 ◽  
pp. 77-107 ◽  
Author(s):  
Ewa Lewin ◽  
Mariano Rodriguez
Keyword(s):  
Parathyroid Gland ◽  
Abnormal Parathyroid Gland ◽  
Gland Function

Effects of 1,25-dihydroxy-22-oxavitamin D3 on parathyroid gland function in haemodialysis patients with secondary hyperparathyroidism

2002 ◽  
Vol 17 (suppl_10) ◽  
pp. 20-27 ◽  
Author(s):  
Eriko Kinugasa ◽  
Tadao Akizawa ◽  
Junko Takahashi ◽  
Kunihiro Nabeshima ◽  
Hiroaki Ogata ◽  
...  
Keyword(s):  
Secondary Hyperparathyroidism ◽  
Parathyroid Gland ◽  
Gland Function

scholarly journals Preoperative parathyroid harpoon localisation: a new technique helpful in reoperative patients with persistent hyperparathyroidism

2013 ◽  
Vol 95 (2) ◽  
pp. e1-e2
Author(s):  
J Gómez-Ramírez ◽  
D Tagarro ◽  
JM Bravo ◽  
E Martín-Pérez ◽  
E Larrañaga
Keyword(s):  
Primary Hyperparathyroidism ◽  
Parathyroid Gland ◽  
Conservative Surgery ◽  
New Technique ◽  
Reoperative Surgery ◽  
Abnormal Parathyroid Gland ◽  
Persistent Hyperparathyroidism ◽  
A New Technique ◽  
Ultrasonography Guidance ◽  
Inexpensive Technique

Surgery for persistent primary hyperparathyroidism remains a major challenge for surgeons and these reoperative procedures require an experienced parathyroid surgeon. The goal of reoperative surgery is to excise the abnormal parathyroid gland(s) and limit exploration to help minimise the potential complications. At least two positive and concordant localising studies should be available before reoperation because the technical difficulties in these cases make an exact localisation necessary before surgery. We describe the placement of a metallic harpoon under ultrasonography guidance as a safe, simple and inexpensive technique for localisation of the enlarged gland prior to conservative surgery.

scholarly journals Circulating Sclerostin in Disorders of Parathyroid Gland Function

2011 ◽  
Vol 96 (12) ◽  
pp. 3804-3810 ◽  
Author(s):  
Aline G. Costa ◽  
Serge Cremers ◽  
Mishaela R. Rubin ◽  
Donald J. McMahon ◽  
James Sliney ◽  
...  
Keyword(s):  
Parathyroid Gland ◽  
Gland Function

A role for magnesium in neonatal parathyroid gland function?

1991 ◽  
Vol 10 (2) ◽  
pp. 123-126 ◽  
Author(s):  
J L Loughead ◽  
F Mimouni ◽  
R C Tsang ◽  
J C Khoury
Keyword(s):  
Parathyroid Gland ◽  
Gland Function

scholarly journals Incidental Parathyroid Disease during Thyroid Surgery: Should We Remove Them?

ISRN Surgery ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
S. Helme ◽  
A. Lulsegged ◽  
P. Sinha
Keyword(s):  
Primary Hyperparathyroidism ◽  
Parathyroid Gland ◽  
Thyroid Surgery ◽  
Parathyroid Tissue ◽  
Neck Surgery ◽  
Safe Procedure ◽  
Preclinical Phase ◽  
Abnormal Parathyroid Gland ◽  
Parathyroid Disease ◽  
History Of

Aim. Despite an incidence of parathyroid “incidentalomas” of 0.2%–4.5%, only approximately 135 cases have been reported in the literature. We present eight patients in whom an incidental abnormal parathyroid gland was found during routine thyroid surgery. We have reviewed the literature and postulate whether these glands could represent further evidence of a preclinical stage of primary hyperparathyroidism. Methods. A retrospective analysis of all 236 thyroid operations performed by a single surgeon was performed to identify patients in whom abnormal parathyroid tissue was removed at surgery. Results. 8/236 patients (3.39%) had a single macroscopically abnormal parathyroid gland removed and sent for analysis. Seven patients were found to have histological evidence of a parathyroid adenoma or hyperplasia. None of the patients had abnormal serum calcium detected preoperatively. Postoperatively, four patients had normal calcium, three had temporary hypocalcaemia and one refused followup. No patients had recurrent laryngeal nerve impairment. Conclusions. Despite the risk of removing a histologically normal gland, we believe that when parathyroid “incidentalomas” are found during surgery they should be excised and sent for histological analysis. We have found this to be a safe procedure with minimal morbidity to the patient. As the natural history of primary hyperparathyroidism is better understood, these glands found in normocalcaemic patients may in fact represent the early or preclinical phase of the disease. By removing them at the original operation, the patient is saved redo neck surgery with its high complication rate as or when clinically apparent primary hyperparthryoidism develops in the future.

Hypocalcemia in magnesium-depleted dogs: Evidence for reduced responsiveness to parathyroid hormone and relative failure of parathyroid gland function

Metabolism ◽  
1974 ◽  
Vol 23 (4) ◽  
pp. 323-335 ◽  
Author(s):  
Joseph Levi ◽  
Shaul G. Massry ◽  
Jack W. Coburn ◽  
Francisco Llach ◽  
Charles R. Kleeman
Keyword(s):  
Parathyroid Hormone ◽  
Parathyroid Gland ◽  
Gland Function
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