Pregnant Patient on Hemodialysis Who Showed Remarkable Improvement of Severe Hyperparathyroidism by Strict Serum Phosphorus Control

We encountered a pregnant hemodialysis patient with severe hyperparathyroidism (HPT). Although her disease was considered to be refractory to medical treatment, the serum intact parathyroid hormone (PTH) level remarkably improved without manifestation of hypercalcemia through only strict serum phosp...

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Detalles Bibliográficos
Autores principales: Ito, Jun, Fujii, Hideki, Kono, Keiji, Goto, Shunsuke, Nishi, Shinichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7086312/
https://www.ncbi.nlm.nih.gov/pubmed/31735793
http://dx.doi.org/10.2169/internalmedicine.3774-19
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author Ito, Jun
Fujii, Hideki
Kono, Keiji
Goto, Shunsuke
Nishi, Shinichi
author_facet Ito, Jun
Fujii, Hideki
Kono, Keiji
Goto, Shunsuke
Nishi, Shinichi
author_sort Ito, Jun
collection PubMed
description We encountered a pregnant hemodialysis patient with severe hyperparathyroidism (HPT). Although her disease was considered to be refractory to medical treatment, the serum intact parathyroid hormone (PTH) level remarkably improved without manifestation of hypercalcemia through only strict serum phosphorus control, mainly via intensification of dialysis. The very strong correlation between the serum phosphorus level and serum intact PTH level suggested the possibility of secondary HPT. She ultimately gave birth to a healthy baby. The clinical course of the patient's HPT and the growth of the child have been good for more than six years.
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spelling pubmed-70863122020-03-26 Pregnant Patient on Hemodialysis Who Showed Remarkable Improvement of Severe Hyperparathyroidism by Strict Serum Phosphorus Control Ito, Jun Fujii, Hideki Kono, Keiji Goto, Shunsuke Nishi, Shinichi Intern Med Case Report We encountered a pregnant hemodialysis patient with severe hyperparathyroidism (HPT). Although her disease was considered to be refractory to medical treatment, the serum intact parathyroid hormone (PTH) level remarkably improved without manifestation of hypercalcemia through only strict serum phosphorus control, mainly via intensification of dialysis. The very strong correlation between the serum phosphorus level and serum intact PTH level suggested the possibility of secondary HPT. She ultimately gave birth to a healthy baby. The clinical course of the patient's HPT and the growth of the child have been good for more than six years. The Japanese Society of Internal Medicine 2019-11-18 2020-03-01 /pmc/articles/PMC7086312/ /pubmed/31735793 http://dx.doi.org/10.2169/internalmedicine.3774-19 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Ito, Jun
Fujii, Hideki
Kono, Keiji
Goto, Shunsuke
Nishi, Shinichi
Pregnant Patient on Hemodialysis Who Showed Remarkable Improvement of Severe Hyperparathyroidism by Strict Serum Phosphorus Control
title Pregnant Patient on Hemodialysis Who Showed Remarkable Improvement of Severe Hyperparathyroidism by Strict Serum Phosphorus Control
title_full Pregnant Patient on Hemodialysis Who Showed Remarkable Improvement of Severe Hyperparathyroidism by Strict Serum Phosphorus Control
title_fullStr Pregnant Patient on Hemodialysis Who Showed Remarkable Improvement of Severe Hyperparathyroidism by Strict Serum Phosphorus Control
title_full_unstemmed Pregnant Patient on Hemodialysis Who Showed Remarkable Improvement of Severe Hyperparathyroidism by Strict Serum Phosphorus Control
title_short Pregnant Patient on Hemodialysis Who Showed Remarkable Improvement of Severe Hyperparathyroidism by Strict Serum Phosphorus Control
title_sort pregnant patient on hemodialysis who showed remarkable improvement of severe hyperparathyroidism by strict serum phosphorus control
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7086312/
https://www.ncbi.nlm.nih.gov/pubmed/31735793
http://dx.doi.org/10.2169/internalmedicine.3774-19
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