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available therapies and therapies under development remains key to optimizing replacement therapy. PTH(1–34) Winer et al. first evaluated daily administration of teriparatide (PTH(1–34)) in chronic hypoparathyroidism. Winer et al. used a different
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/mmol ( 2 )) demonstrated with cCa >1.9 mmol/L. Given these challenges, subcutaneous injections of teriparatide – recombinant human PTH(1–34) (rhPTH(1–34) was initiated on an off-licence basis (dose 0.4 μg/kg twice-daily)). This established acceptable cCa
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the treatment of patients with chronic hypoparathyroidism ( 7 ). In Russia, recombinant PTH1–84 has not yet been registered, only (rh)PTH1–34 (teriparatide) is available, which is used in osteoporosis treatment. As there is currently little
Centre de Référence des Maladies Rares du Calcium et du Phosphore Filière de Santé Maladies Rares OSCAR, Paris, France
Centre de Recherche des Cordeliers, INSERM, Sorbonne Université, Université de Paris, INSERM, UMRS1138, Paris, France
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Université Paris-Saclay, Inserm U1185, Physiologie et Physiopathologie Endocriniennes, Assistance Publique-Hôpitaux de Paris, Service d’Endocrinologie et Diabète de l’Enfant, Centre de Référence des Maladies Rares du Calcium et du Phosphore et Filière de Santé Maladies Rares OSCAR, Hôpital Bicêtre Paris Saclay, Le Kremlin-Bicêtre, France
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Centre de Référence des Maladies Rares du Calcium et du Phosphore Filière de Santé Maladies Rares OSCAR, Paris, France
Assistance Publique-Hôpitaux de Paris, Institut Necker-Enfants Malades, INSERM U1151 – CNRS UMR 8253, Paris, France
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Association Francophone de Chirurgie Endocrinienne (AFCE), France
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Assistance Publique-Hôpitaux de Paris, Hôpital Cochin, Biochimie et Génétique Moléculaires, Paris, France
INSERM, U1169, Université Paris Sud, Hôpital Bicêtre, Le Kremlin Bicêtre, France
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INSERM, U1418, CIC-EC, Hôpital Européen Georges Pompidou, Paris, France
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CNRS, ERL8228, Paris, France
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teriparatide (PTH(1–34)) accounted for 98–99% of the possibilities in both populations. The combination of active vitamin D and Ca salt (with or without native vitamin D) was given to 59.1 and 57.8% of ePatients and Épi-Hypo 2019 patients, respectively. Five (4
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Department of Renal Physiology, Necker Hospital, Université de Paris, Paris, France
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high bone turnover in whom more than 80% have increased serum PTH level ( 13 , 27 ). Other reports showed histological high bone turnover in 47.2% of patients with CKD stages 3–4 and in 61.4% with CKD stage 5 ( 28 ). However, more recent studies showed
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Division of Bone and Mineral Diseases, Washington University in St Louis, St Louis, Missouri, USA
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= ↑/= = ? = ↑/= = ↑/= Anti-osteoporosis treatment Bisphosphonates ↓* ↓* =* ↑* 1 ↓ ↓ ↑/= ↓ Anti-RANKL Ab ↓* ↓* ↑* ↑* 1 ↓* 1 ↓* 1 ↑* 1 ↓* 1 Intermittent PTH ↑ ↓ ↑ ↑ ↑ ↓ ↑ ↓ Anti
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Jan van Goyen Medical Center, Department of Internal Medicine, Amsterdam, the Netherlands
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Department of Epidemiology, Erasmus MC, University Medical Center, Rotterdam, The Netherlands
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drastically within hours unless breastfeeding is initiated ( 9 ). During pregnancy, PTHrP suppresses and replaces parathyroid hormone (PTH), thereby preventing secondary and tertiary hyperparathyroidism. The first 34 amino acids of PTHrP display similarity to