Persistent Hyperparathyroidism Caused by Incomplete Parathyroid Resection and a Hyperfunctioning Parathyroid Autograft

Allen M. Spiegel, Robert W. Downs, Arthur Santora, Stephen J. Marx, John Doppman, James Shull

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

A case of familial primary hyperparathyroidism occurred in which persistent hypercalcemia was caused by hyperplastic parathyroid tissue left in the neck and mediastinum after initial surgery and by a hyperfunctioning parathyroid autograft in the forearm. Successful therapy required parathyroid localization and resection of tissue from the neck, mediastinum, and forearm. Parathyroid tissue should be autotransplanted at the time of initial surgery only when total parathyroidectomy is judged likely to have been achieved.

Original languageEnglish (US)
Pages (from-to)1896-1898
Number of pages3
JournalJAMA: The Journal of the American Medical Association
Volume250
Issue number14
DOIs
StatePublished - Oct 14 1983
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine

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