SECONDARY HYPERPARATHYROIDISM ASSOCIATED WITH CHRONIC KIDNEY DISEASE. UPDATED REVIEW ON THERAPEUTICAL MANAGEMENT
Abstract
While a full and complete understanding of the pathogeny of secondary hyperparathyroidism in chronic kidney disease is not acknowledged yet, it is important that this condition has a high impact on the mortality and morbidity of dialysis patients. The intention of this review is to take us on a short journey to understand a bit more about this associated conditions and to explore how a treatment may be assembled to the best possibility at this point in time. From the basis of physiopathology we can state that in chronic kidney disease the hyperparathyroidism appears as a result of low renal function and its alteration of phosphor-calcemic homeostasis. The discussion between the borderline of medical therapy and a surgical approach is crucial. The correct administration of treatment following strictly the therapeutical scheme is absolutely mandatory. Furthermore, in the advanced cases the experience of the surgeon may be a barrier between the life and death of the patient.