Korean J Endocr Surg.  2005 Jun;5(1):24-28. 10.16956/kjes.2005.5.1.24.

A Case of Hungry Bone Syndrome after Parathyroidectomy in Patient with Tertiary Hyperparathyroidism and Hemodialysis Patient

• Son MW
• Kim TY
• Song D
• Kim SY
• Han JK
• Kim HH
• Kim YJ
• Lee EY
• Kim SJ
• Hong SY
• Yang SH
• Lee MH
• Cho MS

• KMID: 2375968
• DOI: http://doi.org/10.16956/kjes.2005.5.1.24

Abstract

Hyperparathyroidism is a common finding in patients with chronic renal failure. Among the hyperparathyroidism, tertiary hyperparathyroidism, which is secreting parathyroid hormone autonomously in spite of hypercalcemia. Sometimes it requires surgical intervention due to not only symptomatic hypercalcemia, but also longstanding asymptomatic hypercalcemia. Hungry bone syndrome was known to be developed due to extensive re-mineralization of skeleton after parathyroidectomy. It is characteristic of persistent hypocalcemia, hypophosphatemia and often with tetany. The patient's condition improved without complication after the calcium chloride and calcium carbonate administration. We report a case of hungry bone syndrome developed after parathyroidectomy in patient with tertiary hyperparathyroidism and chronic renal failure.

Keyword

Hungry bone syndrome; Tertiary hyperparathyroidism; Chronic renal failure

MeSH Terms

Calcium Carbonate
Calcium Chloride
Humans
Hypercalcemia
Hyperparathyroidism*
Hypocalcemia
Hypophosphatemia
Kidney Failure, Chronic
Parathyroid Hormone
Parathyroidectomy*
Renal Dialysis*
Skeleton
Tetany
Calcium Carbonate
Calcium Chloride
Parathyroid Hormone