Delayed Post-Surgical Hypoparathyroidism: The Forgotten Chameleon!
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 2
Abstract
Delayed hypoparathyroidism, due to accidental gland removal or ischemia of parathyroids can present many years after thyroidectomy and symptoms may be non-specific. This condition, if not diagnosed timely, may prove fatal and have serious consequences. Hence, clinicians must have a high index of suspicion to treat this condition. All patients with a history of previous thyroid surgery, who come with vague symptoms like fatigue, muscle aches should undergo estimation of serum calcium, phosphorus and Parathyroid Hormone (PTH) due to the lack of any pathognomonic features of hypoparathyroidism. We report a rare case of delayed post-surgical hypoparathyroidism who became symptomatic 15 years after thyroid surgery and remained so for another 10 years before the final diagnosis was established.
Authors and Affiliations
Sangita Deepak Kamath, Balllamudi Srinivas Rao
Evaluating the Efficacy of Levonorgestrel Intrauterine System and Danazol for Relief of Postoperative Pain in Endometriosis
Introduction: Endometriosis is an oestrogen-dependent disorder, manifests during reproductive years and is associated with pain and infertility. There is considerable debate about the effectiveness of various interventio...
A Comparative Study of Pituitary Volume Variations in Mri in Acute Onset of Psychiatric Conditions
Introduction: The growing belief that endocrine abnormalities may underlie many mental conditions has led to increased use of imaging and hormonal assays in patients attending to psychiatric OPDs. People who are in an ac...
Lesinurad, a Novel Uricosuric Drug for Allopurinol-Refractory Gout Patients
ABSTRACT Gout is the most common type of arthritis in developed countries that is often inadequately managed. Evidence regarding role of hyperuricaemia in poor outcomes in gout patients (e.g., disability, recurrent hosp...
Glans Cyst- A Rare Anomaly
ABSTRACT The glans cyst of the penis is an uncommon occurrence and was first described by Lantin and Thompson in 1956. These cysts are generally asymptomatic; however, may present with varied symptoms including dysuria,...
Multiple Recurrent Simultaneous Salivary Calculi
Images in Medicine