{"id":31658,"date":"1997-01-01T00:00:00","date_gmt":"1997-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/historia-natural-del-hiperparatiroidismo-primario-en-nuestro-medio\/"},"modified":"1997-01-01T00:00:00","modified_gmt":"1997-01-01T00:00:00","slug":"historia-natural-del-hiperparatiroidismo-primario-en-nuestro-medio","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/historia-natural-del-hiperparatiroidismo-primario-en-nuestro-medio\/","title":{"rendered":"Historia natural del hiperparatiroidismo primario en nuestro medio."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Idoia Rios Amondarain <\/strong><\/h2>\n<p>Se estudian 300 casos de hiperparatiroidismo primario (hpp) intervenidos quirurgicamente en la fundacion jimenez diaz, desde 1955 hasta 1995. Analizamos los datos clinicos, bioquimicos, densitometricos, anatomopatologicos y de la evolucion postquirurgica a corto plazo. Observamos un predominio de mujeres (73%) sobre varones (27%) y mayor frecuencia de casos en la 3 edad. En nuestro medio, la forma clinica predominante es la litiasis renal (35%), seguida por la forma hipercalcemica (24%) y asintomatica (19%). Destaca la practica desaparicion de la forma osea severa y la rareza de la forma normocalcemica. La hipercalcemia (95%) es el primer aviso bioquimico de la posible existencia de hpp; los niveles elevados de pth serica (89%) descartan otras causas de hipercalcemia. La disminucion de la densidad mineral osea es mas acusada a nivel de hueso cortical.  los datos anatomo-patologicos muestran un predominio de adenomas (79%) sobre hiperplasias (19%) y carcinomas (2%). En cuanto a las indicaciones de tratamiento quirurgico, este estudio demuestra que no pueden seguirse protocolos estrictos, ya que inciden en la terapeutica el medico que supervisa la enfermedad y la propia voluntad del paciente. Las complicaciones a corto plazo de la cirugia son minimas.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Historia natural del hiperparatiroidismo primario en nuestro medio.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Historia natural del hiperparatiroidismo primario en nuestro medio. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Idoia Rios Amondarain <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1997<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Aurelio Rapado Errazti<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Manuel Oya Otero <\/li>\n<li>Juan  Manuel San Roman Teran (vocal)<\/li>\n<li>Federico Hawkins Carranza (vocal)<\/li>\n<li>Antonio Jara Albarran (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Idoia Rios Amondarain Se estudian 300 casos de hiperparatiroidismo primario (hpp) intervenidos quirurgicamente en la fundacion jimenez [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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