Presentation
Abnormal bone profile non-responsive to medications. The patient is on long term dialysis.
Patient Data
Age: 30 years
Gender: Male
From the case:
Secondary parathyroid hyperplasia
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1.7cm well defined hypervascular low echogenicity nodule inferior to the lower pole of the left lobe of the thyroid gland.
Thyroid gland normal.
Case Discussion
Secondary hyperparathyroidism is a recognized complication of long-standing renal failure - in this case, a dialysis-dependent patient for many years.
The parathyroid glands become enlarged due to hypertrophy.
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