Korean Journal of Endocrine Surgery  2005;5(1):24-28

doi:10.16956/kjes.2005.5.1.24

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

Myoung Won SON 1 ; Tae Yoon KIM ; Dan SONG ; Sung Yong KIM ; Jong Kyu HAN ; Hyung Hwan KIM ; Yeo Joo KIM ; Eun Young LEE ; Sang Jin KIM ; Se Yong HONG ; Seung Ha YANG ; Min Hyuk LEE ; Moo Sik CHO

Affiliations

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Keywords

Hungry bone syndrome; Tertiary hyperparathyroidism; Chronic renal failure

Country

Republic of Korea

Language

Korean

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.