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
  • Manabu Taguchi
  • Akira Takeshita
  • Megumi Miyakawa
  • Yasuhiro Takeuchi
Case Report

Abstract

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 

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Copyright information

© Springer Japan 2008

Authors and Affiliations

  • Keisuke Kataoka
    • 1
  • Manabu Taguchi
    • 1
  • Akira Takeshita
    • 1
  • Megumi Miyakawa
    • 1
  • Yasuhiro Takeuchi
    • 1
  1. 1.Toranomon Hospital Endocrine CenterTokyoJapan

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