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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Brown tumors in dialyzed patients with secondary hyperparathyroidism: Report of 16 cases
Hemodialysis International, Volume 16, No. 4, Year 2012
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Description
Brown tumors (BTs) are relatively uncommon but they are serious complications of renal osteodystrophy. The objective of this study was to analyze the clinical, biological, and radiological characteristics of 16 patients with BTs provoked by secondary hyperparathyroidism (sHPT) and its response to the decrease in parathyroid hormone levels after parathyroidectomy (PTX). The management of that uncommon condition was also reviewed. We conducted a retrospective study including 16 end-stage renal disease patients who underwent subtotal PTX between 1997 and 2007 for severe sHPT with BTs. Our study included 10 men and 6 women, whose average age was 34 years. All patients were on dialysis. Ten of them were on dialysis for more than 5 years. The median duration on dialysis was 84 months. Patients included suffered from swellings associated with functional limitations. BTs had multiple locations in 7 patients. Jaw was the most frequent location (62%). Radiography and tomodensitometry demonstrated a mixed radio lucent and radio-opaque lesions with an expansion of the cortical bone. Bone scan demonstrated an increased uptake of lesions. Chirurgical treatment was indicated in all cases because of severe refractory sHPT with functional limitations and/or disfiguring deformities. In all cases, BTs stopped its progression and even decreased in size. However, it was insufficient in four cases, which required a surgical resection. PTX remains an efficacious approach in resistant cases of sHPT with persistent BTs. © 2012 The Authors. Hemodialysis International © 2012 International Society for Hemodialysis.
Authors & Co-Authors
Hamouda, Mouna
Tunisia, Monastir
Chu Fattouma-bourguiba
Tunisia, Monastir
Faculté de Médecine de Monastir
Handous, Insaf
Tunisia, Monastir
Chu Fattouma-bourguiba
Tunisia, Monastir
Faculté de Médecine de Monastir
Dhia, Nasr Ben
Tunisia, Monastir
Chu Fattouma-bourguiba
Tunisia, Monastir
Faculté de Médecine de Monastir
Ayachi, Samia
Tunisia, Sousse
Chu Sahloul
Letaief, Ahmed
Tunisia, Monastir
Chu Fattouma-bourguiba
Tunisia, Monastir
Faculté de Médecine de Monastir
Aloui, Sabra
Tunisia, Monastir
Chu Fattouma-bourguiba
Tunisia, Monastir
Faculté de Médecine de Monastir
Frih, Ammeur
Tunisia, Monastir
Chu Fattouma-bourguiba
Tunisia, Monastir
Faculté de Médecine de Monastir
Skhiri, Habib
Tunisia, Monastir
Chu Fattouma-bourguiba
Tunisia, Monastir
Faculté de Médecine de Monastir
Khochtali, Habib
Tunisia, Sousse
Chu Sahloul
Elmay, Mezri
Tunisia, Monastir
Chu Fattouma-bourguiba
Tunisia, Monastir
Faculté de Médecine de Monastir
Statistics
Citations: 10
Authors: 10
Affiliations: 3
Identifiers
Doi:
10.1111/j.1542-4758.2012.00695.x
ISSN:
14927535
e-ISSN:
15424758
Research Areas
Health System And Policy
Noncommunicable Diseases
Study Design
Cohort Study
Participants Gender
Male
Female