Journal of Bone and Mineral Metabolism

, Volume 26, Issue 3, pp 295–297

Recurrence of primary hyperparathyroidism following spontaneous remission with intracapsular hemorrhage of a parathyroid adenoma


  • Keisuke Kataoka
    • Toranomon Hospital Endocrine Center
  • Manabu Taguchi
    • Toranomon Hospital Endocrine Center
  • Akira Takeshita
    • Toranomon Hospital Endocrine Center
  • Megumi Miyakawa
    • Toranomon Hospital Endocrine Center
    • Toranomon Hospital Endocrine Center
Case Report

DOI: 10.1007/s00774-007-0816-2

Cite this article as:
Kataoka, K., Taguchi, M., Takeshita, A. et al. J Bone Miner Metab (2008) 26: 295. doi:10.1007/s00774-007-0816-2


A few patients with primary hyperparathyroidism (PHPT) have a chance of spontaneous remission by either infarction of or hemorrhage into or around the parathyroid adenoma. In most cases, biochemical derangements associated with PHPT are permanently improved after spontaneous remission. Here we report a case with a recurrence of PHPT 4 months after spontaneous remission with acute intracapsular hemorrhage of parathyroid adenoma. In the literature, only two cases have been reported to have experienced a recurrence of clinical features of PHPT after infarction but not hemorrhage of parathyroid adenomas. Thus, the spontaneous remission of biological derangements in PHPT upon hemorrhage or infarction of parathyroid adenoma could be temporary. One should carefully observe such patients thereafter.

Key words

intracapsular hemorrhage of parathyroid adenoma

Copyright information

© Springer Japan 2008