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New guideline puts emphasis on patient care in treating hypoparathyroidism

Date:
July 10, 2015
Source:
European Society of Endocrinology
Summary:
Patients with low levels of calcium and parathyroid hormone in their blood should be investigated for chronic hypoparathyroidism to optimize their treatment, according to a new guideline.
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Patients with low levels of calcium and parathyroid hormone in their blood should be investigated for chronic hypoparathyroidism to optimize their treatment, according to a new guideline published by the European Society of Endocrinology in the European Journal of Endocrinology.

After reviewing more than 300 studies on the condition, an international group of researchers set 31 new recommendations aimed at improving the current care of chronic hypoparathyroidism -- a condition that occurs in patients when they do not produce enough parathyroid hormone, causing their blood calcium levels to fall. Symptoms are wide-ranging and include unusual muscle movements, cataracts, kidney complications and depression. Women with low levels of parathyroid hormone are also more likely to have complications during pregnancy.

Modern medical treatment focuses on improving the well-being of patients and reacting to the long-term outcome. The guideline provides recommendations for treatment and monitoring of the condition, including those for special circumstances such as during pregnancy and breastfeeding.

Chronic hypoparathyroidism is one of the few endocrine diseases where lacking a hormone is not treated by replacing it. This problem is widely discussed in the guideline.

Hypoparathyroidism is a rare disease that affects found 1 out of 4000 adults. It usually occurs after thyroid surgery but can also arise through the body's immune system mistakenly destroying the parathyroid glands. The guideline recommends that patients who do not have either of these problems should be tested for genetic mutations.

"Hypoparathyroidism is a complicated condition which causes patients to suffer many unspecific symptoms in everyday life and we believe there is room to improve their quality of care," said lead author of the study Professor Jens Bollerslev. "These guidelines are meant to provide clinicians with practical recommendations on how to manage this rare and poorly-understood disease."


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Materials provided by European Society of Endocrinology. Note: Content may be edited for style and length.


Journal Reference:

  1. Bollerslev et al. European Society of Endocrinology Clinical Guideline on: Treatment of Chronic Hypoparathyroidism in Adults. European Journal of Endocrinology, July 2015 DOI: 10.1530/EJE-15-0628

Cite This Page:

European Society of Endocrinology. "New guideline puts emphasis on patient care in treating hypoparathyroidism." ScienceDaily. ScienceDaily, 10 July 2015. <www.sciencedaily.com/releases/2015/07/150710081536.htm>.
European Society of Endocrinology. (2015, July 10). New guideline puts emphasis on patient care in treating hypoparathyroidism. ScienceDaily. Retrieved May 29, 2017 from www.sciencedaily.com/releases/2015/07/150710081536.htm
European Society of Endocrinology. "New guideline puts emphasis on patient care in treating hypoparathyroidism." ScienceDaily. www.sciencedaily.com/releases/2015/07/150710081536.htm (accessed May 29, 2017).

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