Hypercalcemic Crisis Due to Parathyroid Adenoma Improved by Continuous Hemodialysis with a Common Calcium Concentration Dialysate: Discussion of Therapeutic Management
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- Okuyama Hirohito
- Department of Nephrology, Japanese Red Cross Akita Hospital, Japan
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- Sato Ryuta
- Department of Nephrology, Japanese Red Cross Akita Hospital, Japan
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- Enomoto Katsuhiko
- Department of Pathology, Japanese Red Cross Akita Hospital, Japan
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- Asakura Juko
- Department of Nephrology, Japanese Red Cross Akita Hospital, Japan
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- Hatakeyama Takashi
- Department of Nephrology, Japanese Red Cross Akita Hospital, Japan
抄録
<p>A hypercalcemic crisis due to primary hyperparathyroidism is a life-threatening condition. We herein report a 71-years-old man with hypercalcemic crisis due to primary hyperparathyroidism with parathyroid adenoma. Generally, hemodialysis or continuous hemodiafiltration using calcium-free or low-calcium dialysate is performed early for hypercalcemic crisis. In this case, continuous hemodialysis with a common calcium concentration dialysate improved the hypercalcemic crisis, and parathyroidectomy was performed. The patient recovered sufficiently. Prediction of hypercalcemia crisis, appropriate introduction and methods of blood purification therapy, and timing decisions for parathyroidectomy are required for therapeutic management of hypercalcemic crisis with parathyroid adenoma. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 63 (8), 1139-1147, 2024-04-15
一般社団法人 日本内科学会