Síndrome de "huesos hambrientos": experiencia clínica en su diagnóstico y tratamiento

Hungry bone syndrome is a unusual complication of the postoperative period of primary hyperparathyroidism. This syndrome is characterized by hypocalcemia, hypophosphatemia and hypomagnesemia, due to an excessive bone remineralization. We report the clinical features, laboratory and therapy in four f...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Araya Q,Verónica, Oviedo G,Sofía, Amat V,José
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2000
Materias:	Bone resorption Hyperparathyroidism hypocalcemia hypophosphatemia
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000100011
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872000000100011
record_format	dspace
spelling	oai:scielo:S0034-988720000001000112000-05-25Síndrome de "huesos hambrientos": experiencia clínica en su diagnóstico y tratamientoAraya Q,VerónicaOviedo G,SofíaAmat V,José Bone resorption Hyperparathyroidism hypocalcemia hypophosphatemia Hungry bone syndrome is a unusual complication of the postoperative period of primary hyperparathyroidism. This syndrome is characterized by hypocalcemia, hypophosphatemia and hypomagnesemia, due to an excessive bone remineralization. We report the clinical features, laboratory and therapy in four females (aged 39 to 73 years old) with a long standing hyperparathyroidism, elevated alkaline phosphatases and decreased bone mineralization in two. The mean size of the adenoma was 2.9 ± 1.1 cm. Hypocalcemia appeared between days 1 and 6 of the postoperative period. All were treated with calcium, calcitriol and magnesium at different timing and dosages. The mean hospitalization period was 19.8 ± 2.1 days. As reported previously, low bone mineralization and a large adenoma are risk factors for the syndrome. Serial monitoring of serum calcium and magnesium and an early supplementation of these minerals could prevent hypocalcemia and decrease the hospitalization time. (Rev Méd Chile 2000; 128: 80-85)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.128 n.1 20002000-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000100011es10.4067/S0034-98872000000100011
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Bone resorption Hyperparathyroidism hypocalcemia hypophosphatemia
spellingShingle	Bone resorption Hyperparathyroidism hypocalcemia hypophosphatemia Araya Q,Verónica Oviedo G,Sofía Amat V,José Síndrome de "huesos hambrientos": experiencia clínica en su diagnóstico y tratamiento
description	Hungry bone syndrome is a unusual complication of the postoperative period of primary hyperparathyroidism. This syndrome is characterized by hypocalcemia, hypophosphatemia and hypomagnesemia, due to an excessive bone remineralization. We report the clinical features, laboratory and therapy in four females (aged 39 to 73 years old) with a long standing hyperparathyroidism, elevated alkaline phosphatases and decreased bone mineralization in two. The mean size of the adenoma was 2.9 ± 1.1 cm. Hypocalcemia appeared between days 1 and 6 of the postoperative period. All were treated with calcium, calcitriol and magnesium at different timing and dosages. The mean hospitalization period was 19.8 ± 2.1 days. As reported previously, low bone mineralization and a large adenoma are risk factors for the syndrome. Serial monitoring of serum calcium and magnesium and an early supplementation of these minerals could prevent hypocalcemia and decrease the hospitalization time. (Rev Méd Chile 2000; 128: 80-85)
author	Araya Q,Verónica Oviedo G,Sofía Amat V,José
author_facet	Araya Q,Verónica Oviedo G,Sofía Amat V,José
author_sort	Araya Q,Verónica
title	Síndrome de "huesos hambrientos": experiencia clínica en su diagnóstico y tratamiento
title_short	Síndrome de "huesos hambrientos": experiencia clínica en su diagnóstico y tratamiento
title_full	Síndrome de "huesos hambrientos": experiencia clínica en su diagnóstico y tratamiento
title_fullStr	Síndrome de "huesos hambrientos": experiencia clínica en su diagnóstico y tratamiento
title_full_unstemmed	Síndrome de "huesos hambrientos": experiencia clínica en su diagnóstico y tratamiento
title_sort	síndrome de "huesos hambrientos": experiencia clínica en su diagnóstico y tratamiento
publisher	Sociedad Médica de Santiago
publishDate	2000
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000100011
work_keys_str_mv	AT arayaqveronica sindromedehuesoshambrientosexperienciaclinicaensudiagnosticoytratamiento AT oviedogsofia sindromedehuesoshambrientosexperienciaclinicaensudiagnosticoytratamiento AT amatvjose sindromedehuesoshambrientosexperienciaclinicaensudiagnosticoytratamiento
_version_	1718435900615032832

Síndrome de "huesos hambrientos": experiencia clínica en su diagnóstico y tratamiento

Ejemplares similares