三期甲状旁腺功能亢进
医学
继发性甲状旁腺功能亢进
甲状旁腺功能亢进
病因学
甲状旁腺激素
内科学
内分泌学
钙
作者
Sophie A. Jamal,Paul D. Miller
标识
DOI:10.1016/j.jocd.2012.11.012
摘要
We reviewed the etiology and management of secondary and tertiary hyperparathyroidism. Secondary hyperparathyroidism is characterized by an increase in parathyroid hormone (PTH) that is appropriate and in response to a stimulus, most commonly low serum calcium. In secondary hyperparathyroidism, the serum calcium is normal and the PTH level is elevated. Tertiary hyperparathyroidism is characterized by excessive secretion of PTH after longstanding secondary hyperparathyroidism, in which hypercalcemia has ensued. Tertiary hyperparathyroidism typically occurs in men and women with chronic kidney disease usually after kidney transplant. The etiology and treatment of secondary hyperparathyroidism is relatively straightforward whereas data on the management of tertiary hyperparathyroidism is limited to a few small trials with short follow-up.
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