The Hungry Bone Syndrome: a clinical case report
Keywords:
Hypocalcaemia, hungry bone syndrome, hyperthyroidismAbstract
Transient post thyroidectomy hypocalcaemia is a relatively frequent feature, most of the times related to a surgical lesion of the
parathyroid glands. Prior hyperthyroidism is also a risk factor for
transient hypocalcaemia. Long term or definitive hypocalcaemia,
as found in the clinical case we present, is a much rarer condition, is dependent on hypoparathyroidism or in a few cases with
osteodystrophy reversal induced by prior hyperthyroidism.
Downloads
References
Garbédian M. Hypocalcémies. La Revue du Praticien 1998;48 :1185-1190.
Shane E. Hypocalcemia: Pathogenesis, Differential Diagnosis, and Management. Primer on the Metabolic Bone Diseases and Disorders of Mineral nd Disorders of MineralMetabolism. Lippincott-Raven 3ª Ed:217-219.
Arioli E, Correa PH. Hipocalcemia. Arq Bras Endocr Metab 1999;43 (6):467-471.
Zalman A. Treatment of hypocalcemia. Up to Date; 1999; 8: 1.
Wolfer A. Wien med Wschr 1879;29:758.
Follis RH. Jr. Bull. John Hopkins Hosp1953;92:405. l. John Hopkins Hosp1953;92:405.
Buckwalter JA, Soper RT, Davies J et al. Postoperative hypoparathyroidism. Surg Gynecol Obstet 1955;101:657-666.
Murley RS, Peters PM. Inadvertent parathyroidectomy. Proc R Soc Med 1961;54:487-489.
W. Michie, T. Duncan. Mecanism of hypocalcemia after thyroidectomy for thyrotoxicosis. The Lancet 1971: 508-514.
McIntosh D. Surgery in The Treatment of Thyotoxicosis. J R Coll Surg Dinb 1976;21:197-210.
Sugrue DD, Drury MI, McEvoy M, Heffernan SJ, O’Malley E. Long Term Follow.up of hyperthyroid patients treated by subtotal thyroidectomy Br J Surg 1983;70:408-411.
Ramus NI. Hypocalcemia after subtotal thyroidectomy for thyrotoxicosis. Br J Surg 1984;71:589-590.
See ACH, Soo KC. Hypocalcemia following thyroidectomy for thyrotoxicosis. Br J Surg 1997;84:95-97.
Brasier AR, Nussbaum SR. Hungry Bone Syndrome: Clinical and Biochemical Predictors of Its Ocurrence after Parathyroid Surgery. Am J Med 1988;84:654-660.
Yamashita H, Muramaki T, Noguchi S, Shiiba M et al. Postoperative Tetany in Graves Disease, Important Role of Vitamin D Metabolites. Ann Surg 1999; 229(2):237-245.
Painter NS. The results of surgery in the treatment of toxic goitre. A review of 172 cases. Br J Surg 1960;48:291-296.
Bergamaschi R, Becouarn G, Ronceray J, Arnaud JP. Morbidity of Thyroid Surgery Am J Surg 1998;176:71-75.
Zalman A, Berboken M. Hungry Bone Syndrome Following parathyroidectomy. Up to Date 1995;8:1
Albright F, Reifenstein EC Jr. The parathyroid glands and metabolic bone disease. Baltimore. William and Wilkins1948
Wilkin JJ, Patterson CR, Isles T et al. Post thyroidectomy hypocalcemia: a Post thyroidectomy hypocalcemia: a feature of the operation or the thyroid disorder. Lancet 1977;i:621-633.
Insogna KL, Stewart AF. Miscellaneous Causes of Hypocalcemia. Primer on the Metabolic Bone Diseases and Disorders of Mineral Metabolism. Lippincott-Raven 3ª Ed:230-234.
Dembinski TC, Yatscoff W, Blandford DE. Thyrotoxicosis and Hungry Bone Syndrome – A Cause of Posttreatment Hypocalcemia. Clin Bioch
;27(1):69-74
Additional Files
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2023 Medicina Interna