Case Series

Recurrent Urolithiasis Revealing Primary Hyperparathyroidism in a Nephrology Department

Table 4

Prognostic data of our study population.

PatientsMedical treatmentSurgical treatmentHistologyFollow-up

1 (WR)25 OH Vit D3No6 Years
PTH: 114 pg/ml
Ca: 2.36 mmol/l
Ph: 0.88 mmol/l
25 OH Vit D: 28.7 ng/ml
CaU: 8.3 mmol/24 h
PhU: 21 mmol/24 h

2 (BA)25 OH Vit D3Yes
Removal of the subpolar lower parathyroid
Parathyroid hyperplasia3 Years
CT scan of the parathyroids 5 months after surgery: 16 mm mediastinal adenoma not reoperated
PTH: 96.3 pg/ml
Ca: 2.7 mmol/l
Ph: 0.71 mmol/l
CaU: 3 mmol/24 h
PhU: 13.5 mmol/24 h

3 (DH)25 OH Vit D3Yes
Removal of a 2 cm nodule from the left lower parathyroid
Parathyroid adenoma1 year
PTH: 96.3 pg/ml
25 OH Vit D3: 39 ng/ml Ca: 2.27 mmol/l
Ph: 0.73 mmol/l
CaU: 3 mmol/24 h
PhU: 13.8 mmol/24 h

4 (HR)YesParathyroid adenomaPLTF

5 (NL)Yes
Parathyroidectomy of the lower and upper left, upper right, and half of the lower right parathyroid
Parathyroid adenoma8 years
PTH: 30 pg/ml
Ca: 2.26 mmol/l
Ph: 1.39 mmol/l
Ca u: 1.4
Ph u: 14.8

6 GKYes
Right lower parathyroid adenoma
Parathyroid adenoma3 years
Creat: 108
Ca: 2.33 mmol/l
Ph: 0.98 mmol/l
PTH: 74.05 pg/ml
Ca U: 2.08 mmol/24 h
Ph U: 16 mmol/24 h

7 (BAS)Yes
Parathyroidectomy
NDPLTF

8 (NH)NDPLTF

9 (DS)NDPLTF

10 (HI)Yes
Removal of a 2.5 cm parathyroid adenoma
Parathyroid adenoma3.5 Years
Creat: 160 µmol/l
PTH: 300 pg/ml
Ca: 2.18 mmol/l
Ph: 1.03 mmol/l
25 OH Vit D3: 16 ng/ml

PLTF: patient lost to follow-up: ND: none done, PTH: parathormone, Ca: calcium, Ph: phosphate, U: urinary, and Creat: serum creatinine. Bold values represent the follow-up period for each patient.