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Hungry bone syndrome - NYU Langone Health

Hungry bone syndrome Background In recent years, secondary hyperparathyroidism has been mainly managed by combination treatment with calcium salts and calcitriol Treatment is effective in early stages but as secondary PT progresses, hypercalcemia/hyperphosphatemia prevail. VitD metabolites, calcimimetics or Aluminium-and Ca-free phosphate- binding agents Parathyroidectomy Is the treatment of choice in patients with severe HPT which failed medical therapy: --persistently high serum PTH levels (>800pg/ml) in the presence of hypercalcemia and/or hyperphosphatemia -- bone pain, myopathy, metastatic calcifications, pruritis Parathyroidectomy A relatively safe operation mortality of < morbidity in terms of laryngeal nerve palsy of < re-operative rate of for control of local bleeding Jofre et al.

Is the treatment of choice in patients with severe HPT which failed medical therapy: --persistently high serum PTH levels (>800pg/ml) in the presence of hypercalcemia and/or

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Transcription of Hungry bone syndrome - NYU Langone Health