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- Hirohito Okuyama, Ryuta Sato, Katsuhiko Enomoto, Juko Asakura, and Takashi Hatakeyama.
- Department of Nephrology, Japanese Red Cross Akita Hospital, Japan.
- Intern. Med. 2024 Apr 15; 63 (8): 113911471139-1147.
AbstractA hypercalcemic crisis due to primary hyperparathyroidism is a life-threatening condition. We herein report a 71-years-old man with hypercalcemic crisis due to primary hyperparathyroidism with parathyroid adenoma. Generally, hemodialysis or continuous hemodiafiltration using calcium-free or low-calcium dialysate is performed early for hypercalcemic crisis. In this case, continuous hemodialysis with a common calcium concentration dialysate improved the hypercalcemic crisis, and parathyroidectomy was performed. The patient recovered sufficiently. Prediction of hypercalcemia crisis, appropriate introduction and methods of blood purification therapy, and timing decisions for parathyroidectomy are required for therapeutic management of hypercalcemic crisis with parathyroid adenoma.
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