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Nephrol Dial Transplant (1989) 4: 45-50
© 1989 European Renal Association-European Dialysis and Transplant Association

research-article

Parathyroid Sonography in Secondary Hyperparathyroidism: Correlation with Clinical Findings

H. Tomic Brzac1,, D. Pavlovic2, M. Halbauer1 and J. Pasini3

1Institute of Nuclear Medicine, Clinical Hospital, University of Zagreb Yugoslavia 2Institute for Kidney Disease and Hemodialysis, General Hospital ‘Dr J. Kajfes’ Zagreb, Yugoslavia 3Urology Clinic, Clinical Hospital, University of Zagreb Yugoslavia

Correspondence and offprint requests to: Correspondence and offprint requests to: Dr H. Tomic Brzac, Institute of Nuclear Medicine, Clinical Hospital, University of Zagreb, Yugloslavia

We present the results of ultrasonic neck examination in 72 patients (47 males, 25 females) on chronic haemodialysis, with clinical and biochemical signs of increased function of the parathyroid glands. The findings of the ultrasonic examination performed using linear transducers of 5 and 7.5 MHz for the surface tissue are compared with the duration of haemodialysis treatment, biochemical parameters (calcium, phosphate, parathormone, alkaline phosphatase) and skeleton X-ray findings. In 18 patients parathyroid glands were not visible, in 30 patients there were one or two enlarged (i.e. abnormal) parathyroid glands, and in the remaining 24 patients three or four of the glands were enlarged. Abnormal parathyroid glands were more often found in patients who had been dialysed for a longer period of time, as well as in those with a higher parathormone level in the blood. It is concluded that ultrasonic examination of the neck is very useful in the diagnosis of enlarged parathyroid glands, and helpful in the management of patients on chronic haemodialysis.

Keywords: Haemodialysis; Parathyroid gland; Ultrasonography


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