Conservative management of primary hyperparathyroidism

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Successful Conservative Management of Primary Hyperparathyroidism Diagnosed During Pregnancy

Primary hyperparathyroidism (PHP) is the third most common endocrine disorder after diabetes and thyroid disease. Women are affected twice as common as men (1). Although PHP is a very rare condition during pregnancy, it may cause feto-maternal morbidity and mortality (2). The prevalence of hyperparathyroidism in pregnancy varies from 0.15% to 1.4% (3). PHP occurs due to decreased negative feedb...

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Anesthetic management of primary hyperparathyroidism during pregnancy

Rationale: Primary hyperparathyroidism (PHPT) during pregnancy is rare. Nevertheless, hypercalcemia secondary to gestational PHPT may be masked by physiological changes in calcium homeostasis during pregnancy. Gestational PHPT constitutes a serious danger to mother and fetus. Surgery is the only curative treatment when conservative treatment could not control the condition. Due to the lack of g...

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Diagnosis and management of primary hyperparathyroidism.

Since the introduction of biochemical autoanalyzers primary hyperparathyroidism is no longer an uncommon diagnosis. The diagnosis is established by clinical evaluation and persistently elevated serum calcium and parathyroid hormone levels. Management of symptomatic primary hyperparathyroidism is relatively straightforward and the disease can be effectively treated with surgery. Most surgeons ag...

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Anaesthetic management of neonatal primary hyperparathyroidism.

Neonatal primary hyperparathyroidism (NPHP) is a rare disease that presents in the first 6 months of life. It is almost invariably fatal unless a prompt diagnosis is made and urgent surgical intervention is instituted. Patients with hyperparathyroidism require special preoperative considerations. They require proper work-up from cardiac, renal and neurological point of view, correction of intra...

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Surgical management of primary hyperparathyroidism in Canada

Primary hyperparathyroisim is a relatively common condition, for which the standard treatment is surgical excision of one or more of the parathyroid glands. Primary hyperparathyroidism can be due to a single adenoma or multiple gland hyperplasia. In recent decades localizing imaging has improved and there has been a shift away from multiple gland exploration toward a single gland excision. Ther...

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ژورنال

عنوان ژورنال: Journal of Bone and Mineral Research

سال: 2009

ISSN: 0884-0431

DOI: 10.1002/jbmr.5650061424