ESRD Archives - Renal and Urology News


Figure 1. Parathyroid scan of the patient shows focal increased activity posterior to the lower pole of the right thyroid lobe.

An ESRD Patient With Uncontrolled Secondary Hyperparathyroidism

This is a case involving a 64-year-old woman with end-stage renal disease (ESRD) due to lupus nephritis who has been on hemodialysis for 7 years. She also has dementia, hypertension, obstructive sleep apnea on CPAP, and stage 1 non-small cell lung cancer post wedge resection. Over the past 12 months, her secondary hyperparathyroidism (SHPT) has…