48-jährige Patientin mit ausgedehnten pulmonalen Verkalkungen nach allogener Nierentransplantation Seltene Manifestation eines tertiären Hyperparathyreoidismus

Abstract

Patients with renal failure should undergo regular controls of calcium, phosphorus and parathyroid hormone when creatinine clearance is below 50 ml/min/1.73 m2. Only an early medical treatment can prevent the various complications induced by the secondary or tertiary hyperparathyroidism. If medical therapy fails, parathyroidectomy has to be done. Especially before renal transplantation the extent of hyperparathyroidism has to be carefully analyzed and treated aggressively, if necessary by surgery before the date of transplantation.