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장기 복막투석환자에서 부갑상선절제술 후 발생한 Hungry Bone Syndrome |
김병수 , 신석준 , 임상현 , 윤성노 , 양철우 , 김석영 , 최의진 , 방병기 |
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Abstract |
Hungry bone syndrome is known to be developed due to extensive remineralization of skeleton after parathyroidectomy. It is characteristic of persistent hypocalcemia, hypophosphatemia and often with tetany. Hyperparathyroidism is a common finding in pati- ents with chronic renal failure. In general, medical therapy of hyperparathyroidism is the control of hyperphosphatemia, adequate calcium intake and appropriate use of vitamin D. But, parathyroidectomy is considered in patients with clearly advancing hyperparathyroidism despite medical management. We report a case of hungry bone syndrome developed after parathyroidectomy in patient with long-term peritoneal dialysis. |
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