Abstract
Objective:- T o assess the adequacy of our current management of Permanent Hypoparathyroidism using
Calcium and Vit, D3 supplements and life long follow up.
Methods:- All patients of Permanent Hypoparathyroidism after total thyroidectomy were anrolled. Clinical
history , Physical Examination was recorded, Laboratory investigations decided in the study protocol were
done periodically , every three month during follow up. All cases were treated with conventional Calcium and
Vit,D3 therapy .
Results:- We studied 22 cases. Three cases were our own and 19 cases were operated at other institutions.
Ages ranged from 20 - 58 years. Only three cases were male. We needed to adjust the Vit D3 and Calcium dose
quite often. In our cases of thyroidectomy the incidence was 2.04%. There was no significant difference of
incidence among various thyroid pathology groups. All patients were satisfied and no disease complication
was detected during follow up.
Conclusion:- Therapy for Permanent Hypoparathyroidism with Calcium and Vit D3 is adequate. Use of PTH
(1-84) seems more physiological but needs daily subcutaneous injection. In future its oral preparation will
revolutionize the management. For normal quality of life we need life time follow up
