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. 1979 Mar;32(3):234–239. doi: 10.1136/jcp.32.3.234

Hypercalcaemia due to hyperparathyroidism in a patient with chronic renal failure and renal carcinoma.

J J Szwed, L J Gott, R E Lempke, I S Seo
PMCID: PMC1145628  PMID: 429590

Abstract

A 65-year-old woman with a history of a left heminephrectomy for renal carcinoma developed hypercalcaemia 11 years after the operation. The same kidney was found to contain a recurrent renal carcinoma. After the radical nephrectomy of the left kidney, hypercalcaemia remitted but reappeared 11 months later. The right kidney was small but functioned at a level of creatinine clearance of 10--15 ml/min. Metastatic work-up was negative, and secondary causes of hypercalcaemia were excluded. A neck exploration revealed a parathyroid adenoma. With parathyroid resection the serum calcium declined to normal, and the risk of hypercalcaemic nephropathy in the remaining kidney was precluded.

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Selected References

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