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Elevation of Parathyroid Hormone Levels in Children Who Underwent Parathyroidectomy for Hyperparathyroidism—Reply
John I. Lew, MD;
Carmen C. Solorzano, MD
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In reply
Elevated PTH levels in the setting of normal serum calcium levels after successful parathyroidectomy for primary hyperparathyroidism (pHPT) can be disconcerting to referring physicians and treating surgeons alike, with the etiology and clinical significance of elevated PTH levels unclear. Among other issues that remain, the significance of elevated PTH levels in younger patients, particularly children, after parathyroidectomy is not clearly understood.
 ed and colleagues described their experience of treating 10 children ( 17 years of age) with pHPT.1 In this study, children comprised 1.27% of all patients with pHPT undergoing parathyroidectomy between 1996 and 2007. Bilateral neck exploration was performed in all patients with one parathyroid adenoma resected. One reoperation was necessary owing to a missed ectopic parathyroid adenoma. Postoperative PTH levels, however, were not presented or discussed in their article. According to ed, 7 of 10 children had . . . [Full Text of this Article]
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RELATED ARTICLE
Long-term Outcome of Patients With Elevated Parathyroid Hormone Levels After Successful Parathyroidectomy for Sporadic Primary Hyperparathyroidism
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RELATED LETTER
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