Hypocalcaemia following thyroidectomy unresponsive to oral therapy.
Hormones (Athens)
; 13(2): 286-9, 2014.
Article
de En
| MEDLINE
| ID: mdl-24776629
ABSTRACT
Hypocalcaemia due to hypoparathyroidism following thyroidectomy is a relatively common occurrence. Standard treatment is with oral calcium and vitamin D replacement therapy; lack of response to oral therapy is rare. Herein we describe a case of hypoparathyroidism following thyroidectomy unresponsive to oral therapy in a patient with a complex medical history. We consider the potential causes in the context of calcium metabolism including poor adherence, hungry bone syndrome, malabsorption, vitamin D resistance, bisphosphonate use and functional hypoparathyroidism secondary to magnesium deficiency. Malabsorption due to intestinal hurry was likely to be a contributory factor in this case and very large doses of oral therapy were required to avoid symptomatic hypocalcaemia.
Recherche sur Google
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Thyroïdectomie
/
Calcitriol
/
Carbonate de calcium
/
Hypocalcémie
/
Hypoparathyroïdie
Type d'étude:
Diagnostic_studies
/
Etiology_studies
Limites:
Adult
/
Female
/
Humans
Langue:
En
Journal:
Hormones (Athens)
Sujet du journal:
ENDOCRINOLOGIA
Année:
2014
Type de document:
Article
Pays d'affiliation:
Royaume-Uni