Treatment of vitamin D deficient osteomalacia may unmask autonomous hyperparathyroidism

被引：3

作者：

Taylor, AVG ^{[1
]}

Wise, PH ^{[1
]}

机构：

[1] Charing Cross Hosp, Dept Endocrinol, London W6 8RF, England

来源：

POSTGRADUATE MEDICAL JOURNAL | 1997年 / 73卷 / 866期

关键词：

osteomalacia; vitamin D; hyperparathyroidism; Asians;

D O I：

10.1136/pgmj.73.866.813

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Two cases of vitamin D deficient osteomalacia with secondary hyperparathyroidism are presented. In both cases treatment with vitamin D replacement therapy resulted in elevated calcium levels and a failture of parathormone levels to normalise, indicating autonomous parathyroid activity. Subsequent surgery in one case resulted in removal of a parathyroid adenoma. The importance of osteomalacia and its complications are discussed.

引用

页码：813 / 815

页数：3

共 9 条

[1] METABOLIC INACTIVATION OF VITAMIN-D IS ENHANCED IN PRIMARY HYPERPARATHYROIDISM [J].

CLEMENTS, MR ;

DAVIES, M ;

FRASER, DR ;

LUMB, GA ;

MAWER, EB ;

ADAMS, PH .

CLINICAL SCIENCE, 1987, 73 (06) :659-664

[2]

CORLESS D, 1975, LANCET, V1, P1404

[3]

DAVIES DR, 1968, BRIT MED J, V2, P395

[4]

FINCH PJ, 1992, Q J MED, V83, P439

[5]

HENDERSON JB, 1990, Q J MED, V76, P923

[6] PATHOLOGIC-STUDY OF PARATHYROID-GLANDS IN TERTIARY HYPERPARATHYROIDISM [J].

KRAUSE, MW ;

HEDINGER, CE .

HUMAN PATHOLOGY, 1985, 16 (08) :772-784

[7] Lesson of the week - Hypovitaminosis D in immigrant women: Slow to be diagnosed [J].

Nellen, JFJB ;

Smulders, YM ;

Frissen, PHJ ;

Slaats, EH ;

Silberbusch, J .

BRITISH MEDICAL JOURNAL, 1996, 312 (7030) :570-572

[8] TERTIARY HYPERPARATHYROIDISM IN NUTRITIONAL OSTEOMALACIA [J].

SESHADRI, MS ;

QURTTOM, MAF ;

SIVANANDAN, R ;

SHIHABALMOHANNADI ;

SAMIAMAN .

POSTGRADUATE MEDICAL JOURNAL, 1994, 70 (826) :595-596

[9] ASSOCIATION BETWEEN PROLONGED DIETARY VITAMIN-D DEFICIENCY AND AUTONOMOUS HYPERPARATHYROIDISM [J].

SULTAN, AH ;

BRUCKNER, FE ;

EASTWOOD, JB .

BRITISH MEDICAL JOURNAL, 1989, 299 (6693) :236-237

← 1 →