Delayed diagnosis of MEN1 after kidney transplantation: unrecognized pre-transplant features and implications for clinical practice.
A 68-year-old man with end-stage renal disease underwent living-donor kidney transplantation and had persistent hypercalcemia afterward.
Clinical pearl
In a kidney-transplant candidate with recurrent or multiglandular hyperparathyroidism, consider MEN1 even when CKD-related calcium-phosphate abnormalities complicate interpretation.