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Published 9 June 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.12.2008.1357]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Reminder of important clinical lesson

Worsening of bone disease after curative surgery in primary hyperparathyroidism

Anil Bhansali, G Shanmugasundar, Sanjay K Bhadada, Rama Walia, P Ravikumar

Endocrinology, Postgraduate Institute of Medical and Educational Research, Chandigarh, 160012, India

Correspondence to:
Anil Bhansali, anilbhansali_endocrine{at}rediffmail.com

SUMMARY

We describe the case of a 33-year-old woman who underwent surgery successfully 3 years earlier for primary hyperparathyroidism, and subsequently presented with severe bone disease due to secondary hyperparathyroidism associated with chronic kidney disease and vitamin D deficiency.


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