[Hyperparathyroidism in patients on long-term hemodialysis].

The author presents case reports of parathyroid adenomas in patients receiving long-term hemodialysis and emphasizes the necessity of dynamic monitoring phosphorus-calcium and bone metabolism starting from the pre-dialysis phase of chronic renal insufficiency. Preventive treatment and therapy of secondary hyperparathyroidism should be based on calcium-containing and phosphate-binding preparations and alfacalcidol at doses adjusted to individual requirements of the patients.