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Clin Med. 2012 Aug;12(4):333-7.

Hyperparathyroidism in chronic kidney disease: complexities within the commonplace.

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  • 1Department of Renal Medicine, Eastern Health Clinical School, Monash University, Melbourne, Australia.


Secondary hyperparathyroidism in patients with chronic kidney disease (CKD) is common and usually caused by associated metabolic abnormalities, in particular, hypocalcaemia and hyperphosphataemia. Nevertheless, other causes of hyperparathyroidism can exist concurrently with CKD, challenging diagnostic interpretation and therapeutic intervention. We present four cases of hyperparathyroidism in patients with CKD that highlight some of these dilemmas.

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