Delayed Post-Surgical Hypoparathyroidism: The Forgotten Chameleon!

Overview

Journal J Clin Diagn Res

Specialty General Medicine

Date 2017 Apr 8

PMID 28384917

Citations 3

Authors

Sangita Deepak Kamath

Balllamudi Srinivas Rao

Affiliations

Soon will be listed here.

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.

Citing Articles

Pseudo-infarction electrocardiographic changes in delayed onset hypoparathyroidism: A case report.

Chow H, Lim C, Ho Y, Cham Y, Fong A, Said A Clin Case Rep. 2023; 11(6):e7580.

PMID: 37351358 PMC: 10282165. DOI: 10.1002/ccr3.7580.

Postoperative Hypoparathyroidism: Prognosis, Prevention, and Treatment (Review).

Melikyan A, Menkov A Sovrem Tekhnologii Med. 2021; 12(2):101-108.

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Delayed Hypoparathyroidism following Thyroidectomy, a Diagnostic Conundrum: A Report of Three Cases from Sri Lanka.

Wijewickrama P, Rajaratnam H Case Rep Endocrinol. 2020; 2020:1735351.

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