Hypercalcemia resistant to cinacalcet caused by amediastinal hyperplastic parathyroid gland in arenal transplant patient

Hypercalcemia resistant to cinacalcet caused by amediastinal hyperplastic parathyroid gland in... case report Eur Surg (2017) 49:187–191 DOI 10.1007/s10353-017-0484-y Hypercalcemia resistant to cinacalcet caused by a mediastinal hyperplastic parathyroid gland in a renal transplant patient Manabu Okada · Kenta Futamura · Takahisa Hiramitsu · Makoto Tsujita · Norihiko Goto · Shunji Narumi · Yoshihiko Watarai · Toshihiro Ichimori · Yoshihiro Tominaga Received: 20 January 2017 / Accepted: 6 June 2017 / Published online: 19 June 2017 © Springer-Verlag GmbH Austria 2017 Summary caused by persistent hyperparathyroidism after renal Background Renal hyperparathyroidism is a common transplantation. Furthermore, we should be extremely complication in patients with chronic kidney disease. careful about hypercalcinuria and nephrocalcinosis Cinacalcet, a kind of calcimimetic, has been reported when we prescribe cinacalcet for patients under hy- to be an effective and safe treatment option in renal percalcemia. transplant patients with hyperparathyroidism. How- ever, some patients require parathyroidectomy due Keywords Chronic kidney disease-mineral and bone to resistance to cinacalcet treatment. It is uncertain disorder · Hyperparathyroidism · Kidney transplanta- when we should give up treatment with cinacalcet tion · Ectopic parathyroid · Parathyroidectomy and perform parathyroidectomy for persistent hyper- parathyroidism. Introduction Case report We experience the first documented case in which cinacalcet-resistant hypercalcemia was Renal hyperparathyroidism is a common http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Surgery Springer Journals

Hypercalcemia resistant to cinacalcet caused by amediastinal hyperplastic parathyroid gland in arenal transplant patient

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Springer Vienna
Copyright © 2017 by Springer-Verlag GmbH Austria
Medicine & Public Health; Surgery; Abdominal Surgery; Cardiac Surgery; General Surgery; Vascular Surgery
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