Advances in the medical management of secondary hyperparathyroidism due to renal failure have decreased Fireguard the use of parathyroidectomy as a treatment option.However, some patients with end-stage renal disease still progress to refractory hyperparathyroidism and debilitating bone disease, for which parathyroidectomy may be warranted.We describe a case of a 35-year-old female Vintage Tees on chronic hemodialysis who presented with bone pains, deformities, decrease in height and recurrent pathologic fractures.
She had markedly elevated parathyroid hormone (PTH), vitamin D deficiency, persistent hyperphosphatemia and hypocalcemia despite therapeutic measures.Subtotal parathyroidectomy was done with eventual improvement of biochemical abnormalities, resolution of bone pains and healing of fractures.