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Journal articles on the topic 'Hungry bone syndrome'

Author: Grafiati

Published: 2 June 2025

Last updated: 31 July 2025

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1

Jain, Nishank, and Robert F. Reilly. "Hungry bone syndrome." Current Opinion in Nephrology and Hypertension 26, no. 4 (2017): 250–55. http://dx.doi.org/10.1097/mnh.0000000000000327.

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2

Bhattacharyya, A., H. M. Buckler, and J. P. New. "HUNGRY BONE SYNDROME – REVISITED." Journal of the Royal College of Physicians of Edinburgh 32, no. 2 (2002): 83–86. https://doi.org/10.1177/1478271520023202008.

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3

Demirci, Huseyin, Elif Suyani, Ayhan Karakoc, et al. "A Longstanding Hungry Bone Syndrome." Endocrinologist 17, no. 1 (2007): 10–12. http://dx.doi.org/10.1097/01.ten.0000257439.69010.39.

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4

dos Santos, Vitorino Modesto, Andressa Plaça Tedeschi, and Laura Campos Modesto. "Hungry bone syndrome after parathyroidectomy." Brasília Médica 64 (2025): 1–3. https://doi.org/10.5935/2236-5117.2025v64e425.

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5

Miles, A. M., M. S. Markell, N. Sumrani, J. Hong, and E. A. Friedman. "Severe hyperparathyroidism associated with prolonged hungry bone syndrome in a renal transplant recipient." Journal of the American Society of Nephrology 8, no. 10 (1997): 1626–31. http://dx.doi.org/10.1681/asn.v8101626.

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Although widely believed to resolve within 6 to 12 months of successful renal transplantation, hyperparathyroidism may persist or develop after renal transplantation and eventually require parathyroidectomy. Avid calcium retention by demineralized bones (hungry bone syndrome) is well-recognized after parathyroidectomy and usually resolves after a few weeks. This report documents the case of a renal transplant recipient with persistent hyperparathyroidism who developed a pathological fracture of the pelvis and required parathyroidectomy 1 year after transplant and then manifested severe and pro

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6

Ohe, Monique Nakayama, Rodrigo Oliveira Santos, Flavio Hojaij, et al. "Parathyroid carcinoma and hungry bone syndrome." Arquivos Brasileiros de Endocrinologia & Metabologia 57, no. 1 (2013): 79–86. http://dx.doi.org/10.1590/s0004-27302013000100011.

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We hereby report two patients with parathyroid carcinoma presenting extremely high calcium and PTH levels, severe bone disease, and palpable neck mass at diagnosis. They both underwent parathyroidectomy, and one of them evolved to lung metastasis. Important hypocalcemia was observed after surgery in both: after parathyroidectomy in one patient, and only after surgical removal of the metastasis in the other. Both required intravenous calcium replacement, thus revealing hungry bone syndrome (HBS). HBS usually reflects rapid mineralization after correction of hyperparathyroidism. The more severe

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7

Kaye, Michael. "Hungry bone syndrome after surgical parathyroidectomy." American Journal of Kidney Diseases 30, no. 5 (1997): 730. http://dx.doi.org/10.1016/s0272-6386(97)90504-7.

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8

Kumar, Ajay, and Stuart H. Ralston. "Bisphosphonates Prevent the Hungry Bone Syndrome." Nephron 74, no. 4 (1996): 729. http://dx.doi.org/10.1159/000189483.

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9

Boeckler, P., L. Franzen, F. Grunenberger, F. Vignon, J. C. Weber, and J. L. Schlienger. "Hyperparathyroïdie et « hungry bone syndrome å." La Revue de Médecine Interne 22 (June 2001): 139. http://dx.doi.org/10.1016/s0248-8663(01)83567-0.

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10

Varma, Rajeev, Yeonsoo James Kim, Kareen Garjian, and David Barank. "Hyperparathyroidism and Hungry Bone Syndrome Revisited." Clinical Nuclear Medicine 39, no. 8 (2014): 704–6. http://dx.doi.org/10.1097/rlu.0000000000000500.

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11

Lazar, Eric S., and Nicole Stankus. "Dialysis Rounds: Cinacalcet-Induced Hungry Bone Syndrome." Seminars in Dialysis 20, no. 1 (2007): 83–85. http://dx.doi.org/10.1111/j.1525-139x.2007.00248.x.

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12

Woehl, J. M., X. Parent, and G. Blaison. "Insuffisance cardiaque compliquant un « hungry bone syndrome »." La Revue de Médecine Interne 30 (December 2009): S472. http://dx.doi.org/10.1016/j.revmed.2009.10.405.

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13

Affes, L., F. Mnif, B. Ben Naceur, N. Wadhene, N. Rekik, and M. Abid. "Myocardite et Hungry Bone Syndrome, quel lien ?" Annales d'Endocrinologie 74, no. 4 (2013): 297. http://dx.doi.org/10.1016/j.ando.2013.07.181.

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14

Leghlimi, S., K. Rifai, S. Ech-Cherif El Kettani, S. Elmoussaoui, and G. Belmejdoub. "Hungry Bone syndrome à propos d’un cas." Annales d'Endocrinologie 75, no. 5-6 (2014): 352. http://dx.doi.org/10.1016/j.ando.2014.07.273.

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15

El Jadi, H., A. A. Guerboub, A. Meftah, et al. "Hungry bone syndrome : à propos d’un cas." Annales d'Endocrinologie 76, no. 4 (2015): 477. http://dx.doi.org/10.1016/j.ando.2015.07.591.

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16

Bakali Ghazouani, K., N. Belmrhar, L. Benchrifa, Z. Al Houari, and A. Chraibi. "Hungry bone syndrome : à propos d’un cas." Annales d'Endocrinologie 77, no. 4 (2016): 445. http://dx.doi.org/10.1016/j.ando.2016.07.564.

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17

Zoubeidi, H., F. Daoud, Y. Fekih, et al. "Hungry bone syndrome : à propos d’un cas." La Revue de Médecine Interne 37 (December 2016): A232—A233. http://dx.doi.org/10.1016/j.revmed.2016.10.313.

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18

Drissi Oudghiri, M., S. El Amari, I. Motaib, and A. Chadli. "Hungry bone syndrome : à propos d’un cas." Annales d'Endocrinologie 81, no. 4 (2020): 380. http://dx.doi.org/10.1016/j.ando.2020.07.680.

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19

Kusuki, Kazuhisa, and Yuzo Mizuno. "Hungry bone syndrome after thyroidectomy for thyroid storm." BMJ Case Reports 12, no. 10 (2019): e231411. http://dx.doi.org/10.1136/bcr-2019-231411.

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A 39-year-old man was admitted to our hospital with the diagnosis of thyroid storm due to Graves’ disease. Near-total thyroidectomy was performed after 1 month’s pharmacological treatment, and he presented with tetany next morning. Serum corrected calcium value was 5.7 mg/dL. Procollagen type 1 N-terminal propeptide increased considerably, while tartrate-resistant acid phosphatase 5b decreased. These changes indicated that bone formation exceeded bone resorption in reverse after thyroidectomy. Calcium gluconate was administered intravenously for 14 days, before the patient was discharged. Oral

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20

Sakai, K., Y. Tomoda, H. Saito, and K. Tanaka. "Hungry bone syndrome and osteoblastic bone metastasis from gastric cancer." QJM: An International Journal of Medicine 113, no. 12 (2020): 903–4. http://dx.doi.org/10.1093/qjmed/hcaa125.

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21

Benz, Robert L., Charles R. Schleifer, Brendan P. Teehan, Miles H. Sigler, and Gary S. Gilgore. "Successful Treatment of Postparathyroidectomy Hypocalcemia Using Continuous Ambulatory Intraperitoneal Calcium (CAIC) Therapy." Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis 9, no. 4 (1989): 285–88. http://dx.doi.org/10.1177/089686088900900411.

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Severe, recalcitrant hypocalcemia and hungry bone syndrome can complicate parathyroidectomy in endstage renal disease patients. Treatment with prolonged and massive doses of intravenous calcium, with calcitriol supplementation, is often necessary, but potentially dangerous and may prolong hospitalization. Three CAPD patients (including 1 with malabsorption) were safely treated by adding 1 to 3 ampules (10–30 mL) of 10% calcium gluconate solution to each bag of dialysate for up to 29 months. Continuous ambulatory intraperitoneal calcium (CAIC) therapy was initiated postoperatively and continued

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22

Kozłowska, Ewa, and Olga Ciepiela. "Hungry bone syndrome: biochemical and clinical risk factors." Diagnostyka Laboratoryjna 55, no. 1 (2019): 43–48. http://dx.doi.org/10.5604/01.3001.0013.7373.

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Primary hyperparathyroidismremains the first cause of hypercalcaemia. Parathyroid surgery is the most efficient treatment of primary hyperparathyroidism, however surgery entails risk of development of a Hungry Bone Syndrome (HBS) – rapid, profound, and prolonged hypocalcaemia. The risk factors of HBS are significantly elevated calcium and PTH concentration in plasma, large tumor mass, previously diagnosed osteoporosis and age over 61 years old before surgery. Pre-surgery supplementation of vitamin D3 and long-term therapy with bisphosphonate allows for more efficient control of hypocalcemia an

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23

Chandran, MD, Manju, Leonard J. Deftos, MD, JD, LLM, Cynthia A. Stuenkel, MD, Parviz Haghighi, MD, and Lisa A. Orloff, MD. "THYMIC PARATHYROID CARCINOMA AND POSTOPERATIVE HUNGRY BONE SYNDROME." Endocrine Practice 9, no. 2 (2003): 152–56. http://dx.doi.org/10.4158/ep.9.2.152.

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24

Ben Amar, C., M. Tbini, M. Ben Ayed, et al. "Hungry bone syndrome après chirurgie de l’hyperparathyroïdie secondaire." Annales d'Endocrinologie 85, no. 5 (2024): 473. http://dx.doi.org/10.1016/j.ando.2024.08.324.

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25

Ajmi, S., R. Sfar, S. Trimeche, K. Ben Ali, and M. Nouira. "Scintigraphic findings in hungry bone syndrome following parathyroidectomy." Revista Española de Medicina Nuclear 29, no. 2 (2010): 81–83. http://dx.doi.org/10.1016/j.remn.2009.10.003.

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26

Hamza, N., N. Rekik, Z. Bouaziz, et al. "Hungry Bone Syndrome. À propos de 11 cas." Annales d'Endocrinologie 73, no. 4 (2012): 363. http://dx.doi.org/10.1016/j.ando.2012.07.455.

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27

Farese. "Hungriger Knochen nach Parathyreoidektomie – Das «Hungry Bone Syndrome»." Therapeutische Umschau 64, no. 5 (2007): 277–80. http://dx.doi.org/10.1024/0040-5930.64.5.277.

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Das Hungry Bone Syndrome (HBS) stellt eine wichtige Differentialdiagnose einer prolongierten Hypokalzämie nach Parathyreoidektomie (PTX) dar. Das HBS tritt als Folge des plötzlichen, postoperativen «PTH Entzuges» bei einer über längere Zeit vorbestehenden Mineralisationsstörung des Knochens im Rahmen eines primären, sekundären oder tertiären Hyperparathyreoidismus auf. Als Risikofaktoren für die Entwicklung des HBS sind die Adenomgröße, das Alter des Patienten, ein stark erhöhtes Serum PTH sowie ein erhöhtes Serum Kalzium und eine Serum alkalische Phosphatase präoperativ bekannt. Die Diagnose

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28

Elkarci, Samia, Mariam Chettati, Wafaa Fadili, and Inass Laouad. "Severe Hypocalcemia after Renal Transplantation: An Extreme Case of Hungry Bone Syndrome." Scholars Journal of Medical Case Reports 10, no. 1 (2022): 10–11. http://dx.doi.org/10.36347/sjmcr.2022.v10i01.002.

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Hungry bone syndrome is a rare but potentially lethal complication that is characterized by rapid, severe, long-lasting hypocalcemia and hypophosphatemia secondary to increased bone metabolism. Hereby, we present a case of a 38-year-old patient who received a kidney transplant 09 months after a subtotal parathyroidectomy. She developed severe hypocalcemia and hypophosphatemia 15 days after renal transplant and required high-dose of calcium for 4 months thereafter. The aim of this case report is to highlight and raise awareness for the importance of strict nutritional and electrolyte management

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29

Arhire, Amalia Ioana, Cristina Stefan, Suzana Florea, Simona Tau, and Carmen Gabriela Barbu. "Hungry bone syndrome - a foreseen complication: theory versus practice." Archive of Clinical Cases 02, no. 04 (2015): 216–21. http://dx.doi.org/10.22551/2015.08.0204.10055.

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30

Lee, Hyeongjoo, Jinpyeong Kim, Jungje Park, and Seunghoon Woo. "Two Cases of Hungry Bone Syndrome after Huge Parathyroidectomy." Journal of Korean Thyroid Association 8, no. 1 (2015): 108. http://dx.doi.org/10.11106/cet.2015.8.1.108.

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31

Nouri, N., K. Bemohammed, S. Naili, et al. "P1-084 - « Hungry bone syndrome » : à propos d’un cas." Annales d'Endocrinologie 67, no. 5 (2006): 432. http://dx.doi.org/10.1016/s0003-4266(06)72738-x.

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32

Kale, N., A. C. Basaklar, K. Sonmez, Ö. Uluoglu, and S. Demirsoy. "Hungry bone syndrome in a child following parathyroid surgery." Journal of Pediatric Surgery 27, no. 12 (1992): 1502–3. http://dx.doi.org/10.1016/0022-3468(92)90484-o.

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33

Grieff, Marvin. "The Hungry Bone Syndrome after Medical Treatment of Thyrotoxicosis." Annals of Internal Medicine 139, no. 8 (2003): 706. http://dx.doi.org/10.7326/0003-4819-139-8-200310210-00027.

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34

Hassanein, Mohamed, Heather Laird-Fick, Richa Tikaria, and Saleh Aldasouqi. "Removing the problem: parathyroidectomy for calciphylaxis." BMJ Case Reports 11, no. 1 (2018): e226696. http://dx.doi.org/10.1136/bcr-2018-226696.

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Calcific uremic arteriolopathy (CUA), widely known as calciphylaxis, is a rare and lethal disease that usually affects patients with end-stage renal disease. It is characterised by widespread vascular calcification leading to tissue ischaemia and necrosis and formation of characteristic skin lesions with black eschar. Treatment options include sodium thiosulfate, cinacalcet, phosphate binders and in resistant cases, parathyroidectomy. We report a case of recurrent, treatment-resistant CUA successfully treated with parathyroidectomy. Her postoperative course was complicated by hungry bone syndr

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35

Kadam, Rahul Vishwasrao, Aniruddha Gajanan Deshmukh, Luv Shyamlal Mukhi, and Vishal Dinesh Bahuva. "Hungry Bone Syndrome due to Primary Parathyroid Adenoma with Multiple Bone Fractures." MGM Journal of Medical Sciences 2, no. 2 (2015): 103–5. http://dx.doi.org/10.5005/jp-journals-10036-1052.

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36

Hayakawa, Mineji, Satoshi Gando, Yuji Morimoto, et al. "Hungry Bone Syndrome, Psychosis, and Cardiac Arrest During Antihyperthyroid Therapy." Nihon Kyukyu Igakukai Zasshi 12, no. 7 (2001): 372–76. http://dx.doi.org/10.3893/jjaam.12.372.

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37

Paepegaey, Anne-Cécile, Fritz-Line Velayoudom, Selma Housni, Mathieu Gauthé, and Lionel Groussin. "A Hungry Bone Syndrome Predicted by 18F-Fluorocholine PET/CT." Clinical Nuclear Medicine 44, no. 11 (2019): 903–4. http://dx.doi.org/10.1097/rlu.0000000000002676.

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38

Li, Bin, XiaoXu Lv, XiaoMing Li, XiaoZhi Hou, and FengLei Xu. "Postoperative hungry bone syndrome in primary hyperparathyroidism: A case report." Medicine 103, no. 38 (2024): e39717. http://dx.doi.org/10.1097/md.0000000000039717.

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Rationale: Hungry bone syndrome (HBS) is a forgotten and underdiagnosed cause. Postoperative HBS refers to patients with high bone turnover before surgery, but after surgery, the inhibition of osteoclast resorption by intact parathyroid hormone suddenly decreases, resulting in a sudden increase in the amount of calcium resorbed by the bone, and a rapid, severe and persistent hypocalcemia, which may be accompanied by hypophosphatemia and hypomagnesemia. We present a case with information about HBS and related complications after parathyroidectomy (PTX). Patient concerns: The patient was a 57-ye

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39

khan, Saifat Ullah, Muftah Othman, Memon Noor Ilahi, Zishan Nasir, and Syed Hidayat Ali. "Hungry Bone Syndrome following parathyroidectomy: Is it a preventable event?" Yemen Journal of Medicine 3, no. 2 (2024): 172–74. http://dx.doi.org/10.18231/j.yjom.2024.017.

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40

DAVENPORT, ANDREW, and MICHAEL P. STEARNS. "Administration of pamidronate helps prevent immediate postparathyroidectomy hungry bone syndrome." Nephrology 12, no. 4 (2007): 386–90. http://dx.doi.org/10.1111/j.1440-1797.2007.00806.x.

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41

Dembinski, Thomas C., Randall W. Yatscoff, and Dorothea E. Blandford. "Thyrotoxicosis and Hungry Bone Syndrome—A cause of posttreatment hypocalcemia." Clinical Biochemistry 27, no. 1 (1994): 69–74. http://dx.doi.org/10.1016/0009-9120(94)90014-0.

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42

Al-Qadi, Mazen O. "Fatal Hypocalcemia Due to Hungry Bone Syndrome after Total Parathyroidectomy." Journal of Endocrinology and Diabetes 4, no. 2 (2017): 1–3. http://dx.doi.org/10.15226/2374-6890/4/2/00174.

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43

Anwar, Farahnaz, Joseph Abraham, Ahmad Nakshabandi, and Eugene Lee. "Treatment of hypocalcemia in hungry bone syndrome: A case report." International Journal of Surgery Case Reports 51 (2018): 335–39. http://dx.doi.org/10.1016/j.ijscr.2018.08.011.

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44

khan, Saifat Ullah, Muftah Othman, Memon Noor Ilahi, Zishan Nasir, and Syed Hidayat Ali. "Hungry Bone Syndrome following parathyroidectomy: Is it a preventable event?" Yemen Journal of Medicine 03, no. 02 (2024): 172–74. https://doi.org/10.63475/j.yjom.2024.017.

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The parathyroid gland is an important regulator of calcium metabolism and any lesion of this gland such as (parathyroid adenoma, parathyroid hyperplasia, and parathyroid carcinoma) can lead to primary hyperparathyroidism, 1 casing a high secretion of parathyroid hormone which causes calcium, phosphorous, and bone metabolism disorders that could be symptomatic or asymptomatic 2 Parathyroid crisis is rare, accounting for 1-2 percent of patients with primary hyperparathyroidism (PHPT). 3 Parathyroid crisis is associated with severe hypercalcemia with serum calcium concentration usually above 15 m

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45

Alfaro Riveros, Hilda, Laia Obradors Almodóvar, Cristina Farriols Danés, and Josep Planas Domingo. "Hungry Bone Syndrome: Persistent Hypocalcemia Related to Osteoblastic Bone Metastases of Prostate Cancer." Journal of Palliative Medicine 16, no. 12 (2013): 1496–97. http://dx.doi.org/10.1089/jpm.2013.0389.

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46

Pogosian, K. A., L. G. Yanevskaya, A. N. Semenova, et al. "Hungry bone syndrome in delay diagnosed primary hyperparathyroidism with fi brocystic osteitis: A case report." Medical Herald of the South of Russia 13, no. 1 (2022): 102–8. http://dx.doi.org/10.21886/2219-8075-2022-13-1-102-108.

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Fibrocystic osteitis is a rare but severe primary hyperparathyroidism (PHPT) complication. We describe a 66-year-old female presented with fi brocystic osteitis and nephrocalcinosis with eGFR reduction to CKD stage 4 due to primary hyperparathyroidism. Delayed diagnosis of long-term hypercalcemia, high parathyroid hormone level, unsubstituted 25(OH)D defi ciency, and the use of bisphosphonates in high doses caused development of «hungry bones» syndrome in early postoperative period. Severe hypocalcemia required prescription of active and native vitamin D metabolites, oral calcium supplements a

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47

Lau, Jeremy Hugh Yen-hey, Koon Kiu Ng, Wai Chung Wong, and Boom Ting Kung. "Giant parathyroid adenoma and hungry bone syndrome in MEN1 syndrome: A case report." Radiology Case Reports 19, no. 8 (2024): 2959–64. http://dx.doi.org/10.1016/j.radcr.2024.04.024.

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48

Juárez-León, Óscar Alfredo, Miguel Ángel Gómez-Sámano, Daniel Cuevas-Ramos, et al. "Atypical Parathyroid Adenoma Complicated with Protracted Hungry Bone Syndrome after Surgery: A Case Report and Literature Review." Case Reports in Endocrinology 2015 (2015): 1–8. http://dx.doi.org/10.1155/2015/757951.

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Hungry Bone Syndrome refers to the severe and prolonged hypocalcemia and hypophosphatemia, following parathyroidectomy in patients with hyperparathyroidism. We present the case of an eighteen-year-old woman with a four-year history of hyporexia, polydipsia, weight loss, growth retardation, and poor academic performance. The diagnostic work-up demonstrated primary hyperparathyroidism with hypercalcemia of 13.36 mg/dL, a PTH level of 2551 pg/mL, bone brown tumors, and microcalcifications within pancreas and kidneys. Neck ultrasonography revealed a parathyroid adenoma of 33 × 14 × 14 mm, also ide

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49

Arreaza, Javier, Ga Hee Kim, Andrew J. Kim, Jeewendra Dulal, and Peter Anthony Goulden. "Calciphylaxis in Association With Hungry Bone Syndrome. A Possible Risk Factor?" Journal of the Endocrine Society 5, Supplement_1 (2021): A186. http://dx.doi.org/10.1210/jendso/bvab048.376.

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Abstract Background: Calciphylaxis (calcific uremic arteriolopathy) is a rare complication seen in, although not limited to, patients with end-stage renal disease (ESRD). The abnormal regulation of calcium (Ca) and phosphorus (P) homeostasis in this patient group results in intravascular Ca deposition. These patients often develop secondary/tertiary hyperparathyroidism, presenting unique treatment challenges. When patients do not respond to medical therapy, parathyroidectomy is an option that may be complicated by hungry bone syndrome (HBS). We present a case of a patient with calciphylaxis wi

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50

Honda, Masaki, Keita Shimata, Yuzuru Sambommatsu, et al. "Hungry Bone Syndrome After Living Donor Liver Transplant for Biliary Atresia." Experimental and Clinical Transplantation 19, no. 4 (2021): 386–89. http://dx.doi.org/10.6002/ect.2020.0413.

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