Hyperparathyroidism secondary prevention: Difference between revisions
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**Estimated [[glomerular filtration rate]] (eGFR) and [[serum creatinine]] should be done annually. | **Estimated [[glomerular filtration rate]] (eGFR) and [[serum creatinine]] should be done annually. | ||
**24-hour [[biochemical]] [[Kidney stone|stone]] profile, [[Kidney|renal]] imaging by [[X-rays|x-ray]], [[ultrasound]], or [[CT scan]] may be considered if [[Kidney stone|renal stones]] are suspected. | **24-hour [[biochemical]] [[Kidney stone|stone]] profile, [[Kidney|renal]] imaging by [[X-rays|x-ray]], [[ultrasound]], or [[CT scan]] may be considered if [[Kidney stone|renal stones]] are suspected. | ||
Secondary prevention of secondary hyperparathyroidism include: | Secondary prevention of secondary hyperparathyroidism include: | ||
*Maintain adequate nutrition | *Maintain adequate [[nutrition]] | ||
*Proper intake of vitamin D and/or sufficient sunlight exposure | *Proper intake of [[vitamin D]] and/or sufficient sunlight exposure | ||
*Adequate physical activity | *Adequate physical activity | ||
Secondary prevention of tertiary hyperparathyroidism include early detection and treatment of hyperparathyroidism by either [[calcimimetics]] or [[parathyroidectomy]]. | |||
==References== | ==References== | ||
Revision as of 20:30, 6 September 2017
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Hyperparathyroidism secondary prevention On the Web |
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American Roentgen Ray Society Images of Hyperparathyroidism secondary prevention |
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Risk calculators and risk factors for Hyperparathyroidism secondary prevention |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Anmol Pitliya, M.B.B.S. M.D.[2]
Overview
Secondary prevention of primary hyperparathyroidism includes monitoring for potential progression of disease in patients who do not undergo parathyroidectomy. There are guidelines for monitoring of patients with asymptomatic hyperparathyroidism not undergoing parathyroidectomy.
Secondary Prevention
Secondary prevention of primary hyperparathyroidism includes monitoring for potential progression of disease in patients who do not undergo parathyroidectomy. There are guidelines for monitoring of patients with asymptomatic hyperparathyroidism not undergoing parathyroidectomy. These guidelines include:[1]
- Serum calcium
- Serum calcium should be monitored annually.
- Skeletal monitoring
- Dual-energy X-ray absorptiometry (DEXA) is used for skeletal monitoring. DEXA should be done every 1-2 years (at 3 sites).
- X-ray or vertebral fracture assessment of spine may be done if indications are present such as height loss, and/or back pain.
- Renal monitoring
- Estimated glomerular filtration rate (eGFR) and serum creatinine should be done annually.
- 24-hour biochemical stone profile, renal imaging by x-ray, ultrasound, or CT scan may be considered if renal stones are suspected.
Secondary prevention of secondary hyperparathyroidism include:
- Maintain adequate nutrition
- Proper intake of vitamin D and/or sufficient sunlight exposure
- Adequate physical activity
Secondary prevention of tertiary hyperparathyroidism include early detection and treatment of hyperparathyroidism by either calcimimetics or parathyroidectomy.
References
- ↑ Bilezikian JP, Brandi ML, Eastell R, Silverberg SJ, Udelsman R, Marcocci C; et al. (2014). "Guidelines for the management of asymptomatic primary hyperparathyroidism: summary statement from the Fourth International Workshop". J Clin Endocrinol Metab. 99 (10): 3561–9. doi:10.1210/jc.2014-1413. PMC 5393490. PMID 25162665.