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Secondary hyperparathyroidism in CKD

The article presents a clinical case of a violation of phosphorus-calcium metabolism in a patient with chronic renal failure, which developed on the background of receiving a long-term renal replacement therapy by hemodialysis. We presented the anamnesis, laboratory tests result, rationale for the diagnosis, treatment and dynamic observation tactics. The lack of alertness of patients and doctors during renal replacement therapy by hemodialysis may be one of the problems in the secondary hyperparathyroidism development. At the same time, a properly selected therapy helps to stabilize the course of the underlying disease and reduce the risk of developing undesirable effects.