Hypoparathyroidism occurs as a result ofa) Idiopathic atrophy of parathyroidsb) Following surgeryc) Thyroditis with secondary atrophy of parathyroidsd) All of the above
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a
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bc
Mostly due to removal of the parathyroid glands or infarction due to vascular injury.* Vascular injury is more impoant.* Cases usually present 2-5 days after operation with symptoms of hypocalcemia (circumoral and fingeip numbness and tingling tetany, carpopedal spasm and laryngeal stridor) * Treatment with oral calcium and vitamin D supplements* IV calcium gluconate may be required in severe cases.
Endocrinology and breast