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March 25, 1939

POSTOPERATIVE PARATHYROID TETANY: COMPLETE CONTROL OF THE MANIFESTATIONS BY MEANS OF DIHYDROTACHYSTEROL: REPORT OF A CASE

Author Affiliations

PITTSBURGH; BRADDOCK, PA.

From the Department of Metabolism, Montefiore Hospital.

JAMA. 1939;112(12):1131-1133. doi:10.1001/jama.1939.02800120017005
Abstract

The case of postoperative parathyroid tetany that we are reporting here merits, we believe, the attention of the practitioner because of the dramatically efficacious control of the disease effected by means of dihydrotachysterol (A. T. 10), whereas every form of treatment attempted previously was without any beneficial result. There are, moreover, few reports in the American literature dealing with the clinical use of dihydrotachysterol in the treatment of postoperative parathyroid tetany.

Despite all precautions and meticulous surgical technic, postoperative parathyroid tetany, following subtotal thyroidectomy, still occurs in about 1.5 per cent of cases. The prevailing impression that with the advent of solution of parathyroid an answer was found to the problem of controlling every case of parathyroid tetany has been shown, as in the case to be reported here, to be erroneous. Although parathyroid tetany may yield readily to treatment with adequate dosage of calcium and cod liver oil, cases

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