Pseudogout: an unusual and forgotten metabolic sequela of parathyroidectomy.

Abstract

BACKGROUND:

Parathyroidectomy is increasingly being performed by otolaryngology units. The well-known metabolic sequela is hypocalcaemia; it may be transient or permanent depending on presence and/or activity of any residual parathyroid tissue. A more unusual metabolic sequela of a parathyroidectomy is the development of pseudogout. We summarize the clinical presentation and pathophysiology of pseudogout following parathyroidectomy.

METHODS:

We present a case of a 71-year-old woman who developed pseudogout following removal of a parathyroid adenoma.

RESULTS:

Although infrequent, pseudogout predominantly occurs in the immediate postoperative period.

CONCLUSION:

We propose that otolaryngology units should be more aware of the unusual sequelae of pseudogout following parathyroidectomy; it can lead to a prompt referral and commencement of early treatment.

• Authors: Jayesh Doshi, Hugh Wheatley
• Journal: Head & neck (Head Neck) Vol. 30 Issue 12 Pg. 1650-3 (Dec 2008) ISSN: 1097-0347 [Electronic] United States
• PMID: 18327773 (Publication Type: Case Reports, Journal Article)
• Copyright: (c) 2008 Wiley Periodicals, Inc.

Chemical References

• Anti-Inflammatory Agents, Non-Steroidal

Topics

• Adenoma (surgery)
• Aged
• Anti-Inflammatory Agents, Non-Steroidal (therapeutic use)
• Chondrocalcinosis (diagnostic imaging, etiology, therapy)
• Female
• Humans
• Parathyroid Neoplasms (surgery)
• Parathyroidectomy (adverse effects)
• Radiography
• Suction (methods)
• Treatment Outcome
• Wrist (diagnostic imaging)