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dc.creatorCampusano M,Claudia
dc.creatorLópez M,José Manuel
dc.date2003-07-01
dc.date.accessioned2019-11-14T12:59:12Z
dc.date.available2019-11-14T12:59:12Z
dc.identifierhttps://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000700010
dc.identifier.urihttps://revistaschilenas.uchile.cl/handle/2250/119349
dc.descriptionWe report a 29 years old woman with a highly symptomatic primary hyperparathyroidism. After parathyroid adenoma excision, she presented a prolonged and life threatening hypocalcemia, due to a severe hungry bone syndrome. Conventional treatment with oral and intravenous calcium and calcitriol supplementation failed to raise serum and urinary calcium or to relief symptoms. After one month, we indicated a continuous intravenous calcium infusion allowing, during 6 months, an adequate outpatient management. Initial T scores for bone density were markedly low (L2-L4: -3.14; femoral neck: -3.07) and they increased 17% after 18 days of calcium infusion. After 147 days of treatment bone density was normal, increasing by 61%. The present case shows that the hungry bone syndrome can be a real risk for patients and a complex therapeutic challenge. With an appropriate calcium supply an early, fast and complete recovery of bone mass can be achieved (Rev Méd Chile 2003; 131: 779-84)
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dc.languagees
dc.publisherSociedad Médica de Santiago
dc.relation10.4067/S0034-98872003000700010
dc.rightsinfo:eu-repo/semantics/openAccess
dc.sourceRevista médica de Chile v.131 n.7 2003
dc.subjectCalcitriol
dc.subjectCalcium metabolism disorders
dc.subjectHyperparathyroidism
dc.subjectHypocalcemia
dc.titleCompleta recuperación de grave síndrome de hueso hambriento usando infusión crónica ambulatoria de calcio intravenoso: Caso clínico


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