Secondary hyperparathyroidism commonly develops in patients with chronic kidney disease (CKD) in response to high phosphate, low calcium and low 1α,25-dihydroxyvitamin D 3 (calcitriol ...

Management. The child continued to take levothyroxine 25 µg once daily, and at 5 years of age she was started on 40 mg/kg elemental calcium as calcium carbonate daily, and calcitriol (active ...