Completa recuperación de grave síndrome de hueso hambriento usando infusión crónica ambulatoria de calcio intravenoso: Caso clínico

We 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 supplem...

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Auteurs principaux:	Campusano M,Claudia, López M,José Manuel
Langue:	Spanish / Castilian
Publié:	Sociedad Médica de Santiago 2003
Sujets:	Calcitriol Calcium metabolism disorders Hyperparathyroidism Hypocalcemia
Accès en ligne:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000700010
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id	oai:scielo:S0034-98872003000700010
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spelling	oai:scielo:S0034-988720030007000102004-12-13Completa recuperación de grave síndrome de hueso hambriento usando infusión crónica ambulatoria de calcio intravenoso: Caso clínicoCampusano M,ClaudiaLópez M,José Manuel Calcitriol Calcium metabolism disorders Hyperparathyroidism Hypocalcemia We 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)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.7 20032003-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000700010es10.4067/S0034-98872003000700010
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Calcitriol Calcium metabolism disorders Hyperparathyroidism Hypocalcemia
spellingShingle	Calcitriol Calcium metabolism disorders Hyperparathyroidism Hypocalcemia Campusano M,Claudia López M,José Manuel Completa recuperación de grave síndrome de hueso hambriento usando infusión crónica ambulatoria de calcio intravenoso: Caso clínico
description	We 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)
author	Campusano M,Claudia López M,José Manuel
author_facet	Campusano M,Claudia López M,José Manuel
author_sort	Campusano M,Claudia
title	Completa recuperación de grave síndrome de hueso hambriento usando infusión crónica ambulatoria de calcio intravenoso: Caso clínico
title_short	Completa recuperación de grave síndrome de hueso hambriento usando infusión crónica ambulatoria de calcio intravenoso: Caso clínico
title_full	Completa recuperación de grave síndrome de hueso hambriento usando infusión crónica ambulatoria de calcio intravenoso: Caso clínico
title_fullStr	Completa recuperación de grave síndrome de hueso hambriento usando infusión crónica ambulatoria de calcio intravenoso: Caso clínico
title_full_unstemmed	Completa recuperación de grave síndrome de hueso hambriento usando infusión crónica ambulatoria de calcio intravenoso: Caso clínico
title_sort	completa recuperación de grave síndrome de hueso hambriento usando infusión crónica ambulatoria de calcio intravenoso: caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2003
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000700010
work_keys_str_mv	AT campusanomclaudia completarecuperaciondegravesindromedehuesohambrientousandoinfusioncronicaambulatoriadecalciointravenosocasoclinico AT lopezmjosemanuel completarecuperaciondegravesindromedehuesohambrientousandoinfusioncronicaambulatoriadecalciointravenosocasoclinico
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Completa recuperación de grave síndrome de hueso hambriento usando infusión crónica ambulatoria de calcio intravenoso: Caso clínico

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