Article Text

Reminder of important clinical lesson
Worsening of bone disease after curative surgery in primary hyperparathyroidism
  1. Anil Bhansali,
  2. G Shanmugasundar,
  3. Sanjay K Bhadada,
  4. Rama Walia,
  5. P Ravikumar
  1. Endocrinology, Postgraduate Institute of Medical and Educational Research, Chandigarh, 160012, India
  1. Anil Bhansali, anilbhansali_endocrine{at}


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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  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication

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