A Case of "Late" Postsurgical Hypoparathyroidism. 2017

Cesar Augusto Simões, and M K Costa, and L B Comerlato, and A A Ogusco, and V Araújo Filho, and R A Dedivitis, and C R Cernea
Department of Head and Neck Surgery, University of Santo Amaro School of Medicine, São Paulo, SP, Brazil.

BACKGROUND Postsurgical hypoparathyroidism normally occurs a short time after thyroid surgery in form of two clinical syndromes of different etiology and prognosis. The first is transitory and might spontaneously recover within a few weeks or months. The second is permanent and needs a definitive treatment. Only few cases of hypoparathyroidism clinically evident after many years from surgery have been reported. METHODS A case of hypoparathyroidism clinically evident only three and a half years after surgery is reported. Our findings and review of a few cases reported by medical literature suggest the existence of a third form of postsurgical hypoparathyroidism, characterized by a late beginning.

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