Pseudogout: An unusual and forgotten metabolic sequela of parathyroidectomy

✍ Scribed by Jayesh Doshi; Hugh Wheatley

• Book ID: 102235052
• Publisher: John Wiley and Sons
• Year: 2008
• Tongue: English
• Weight: 193 KB
• Volume: 30
• Category: Article
• ISSN: 1043-3074
• DOI: 10.1002/hed.20812

✦ Synopsis

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 predominately 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. © 2008 Wiley Periodicals, Inc. Head Neck, 2008