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TERTIARY HYPERPARATHYROIDISM

Larin Alexander Alexandrovich  (Candidate of Medical Sciences, Associate Professor; FSBEI HE Pirogov Russian National Research Medical University of the Ministry of Health of Russia, Head of the Endocrinology Center of FSBI Hospital № 85 of the FMBA of Russia )

Shegolev Alexander Andreevich  (Doctor of Medical Sciences, Professor, Head of the Department of Hospital Surgery No. 2 at the Institute of Surgery of the Pirogov Russian National Research Medical University of the Ministry of Health of Russia; Head of the University Clinic based at Inozemtsev City Clinical Hospital of the Moscow Department of Health)

Сheshuina Yualia Vladimirovna  (Federal State Budgetary Healthcare Institution Clinic № 85 of the Federal Medical-Biological Agency of Russia Surgeon of the surgical department )

Kogut Oksana Bogdanovna  (Federal State Autonomous Educational Institution of Higher Education Pirogov Russian National Research Medical University under the Ministry of Health of the Russian Federation Candidate of Medical Sciences, Associate Professor; State Budgetary Healthcare Institution of the city of Moscow Inozemtsev City Clinical Hospital of the Moscow Health Department. Surgeon of the Endocrine Surgery Department )

Potemkin Anatoliy Victorovich  (Candidate of Medical Sciences, Associate Professor; Candidate of Medical Sciences, Deputy Chief Physician for Medical Affairs at Federal State Healthcare Institution Clinical Hospital No. 85 of the FMBA of Russia )

The article examines tertiary hyperparathyroidism (THPT) as an endocrine disorder arising from prolonged secondary hyperparathyroidism, characterized by autonomous secretion of parathyroid hormone. The pathogenesis, clinical manifestations, and consequences of the disease, such as worsening bone tissue condition and high cardiovascular morbidity, are described. Three clinical cases of patients with THPT undergoing treatment are presented, and the surgical interventions and their outcomes are analyzed. Key aspects of treatment, including perioperative management and prediction of complications, are highlighted.

Keywords:hyperparathyroidism, secondary hyperparathyroidism, tertiary hyperparathyroidism, parathyroid hormone, surgical treatment of hyperparathyroidism, сhronic renal failure, сhronic kidney disease.

 

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Citation link:
Larin A. A., Shegolev A. A., Сheshuina Y. V., Kogut O. B., Potemkin A. V. TERTIARY HYPERPARATHYROIDISM // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2024. -№09. -С. 170-174 DOI 10.37882/2223-2966.2024.9.19
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