Tertiary hyperparathyroidism

Tertiary hyperparathyroidism 

Updated: 07/02/2023

© Jun Wang, MD, PhD

General features
  • Autonomous hypersecretion of PTH due to parathyroid hyperplasia/adenoma arising from longstanding secondary hyperparathyroidism
  • Some authorities reserve the term for secondary hyperparathyroidism that persists after successful renal transplantation
  • Often detected after hemodialysis or transplantation corrects the renal disease
Clinical presentations
Key laboratory findings
  • Abnormalities of underlying disorder, such as abnormal renal function test
  • Elevated levels of PTH
  • High serum phosphorus
  • Elevated calcium
Treatment
  • Surgery



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