Tertiary Hyperparathyroidism in X-linked Hypophosphatemic Rickets.
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- WU Chung-JUNG
- Division of Endocrinology and Metabolism, Department of Medicine, Chia-Yi Veteran Hospital
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- SONG Yuh-Min
- Taichung Veterans General Hospital
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- SHEU Wayne Huey-Herng
- Taichung Veterans General Hospital
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We report a case of tertiary hyperparathyroidism in an X-linked familial hypophosphatemic rickets (XLH) patient under regular calcitriol and self-adjusted large doses of oral phosphate salt (2.4-3.6 g/day in 4-5 divided doses) according to his serum phosphate level. Tertiary hyperparathyroidism is an unusual complication of XLH patients during treatment. As there is growing evidence that a high phosphate diet may induce hyperplasia of the parathyroid glands, it is important to avoid the stimulation of the parathyroid glands by high doses of phosphate administration in XLH patients. Serum calcium, phosphate, alkaline phosphatase, and also parathyroid hormone should be measured regularly in order to facilitate an early diagnosis of secondary hyperparathyroidism during the treatment of XLH patients, since this stage is reversible with calcitriol and reduced doses of phosphate salt.<br>(Internal Medicine 39: 468-471, 2000)
収録刊行物
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- Internal Medicine
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Internal Medicine 39 (6), 468-471, 2000
一般社団法人 日本内科学会
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詳細情報 詳細情報について
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- CRID
- 1390001204866994560
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- NII論文ID
- 10006995045
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- NII書誌ID
- AA10827774
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- COI
- 1:STN:280:DC%2BD3cvpt1Oktw%3D%3D
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- ISSN
- 13497235
- 09182918
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- NDL書誌ID
- 5384809
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- PubMed
- 10852165
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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- 使用不可