parathyroid gland

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Parathyroid gland

An endocrine organ usually associated with the thyroid gland and possessed by all vertebrates except the fishes. In response to lowered serum calcium concentration, a hormone is produced which promotes bone destruction and inhibits the phosphorus-conserving activity of the kidneys. See Thyroid gland

Common positions of human parathyroid glands on the posterior aspect of the thyroidenlarge picture
Common positions of human parathyroid glands on the posterior aspect of the thyroid

In humans, there are typically four glands situated as shown in the illustration; however, the number varies between three and six, with four appearing about 80% of the time. Variations in the positioning of the glands along the craniocaudal axis occur but, excepting parathyroid III which may occasionally be found upon the anterior surface of the trachea, the relation to the posterior surface of the thyroid is rarely lost.

The parathyroid glands are essential for the regulation of calcium and phosphate concentrations in the extracellular fluids of amphibians and higher vertebrates. Parathyroid hormone has two major target organs, bone and kidney. It acts on bone in several ways. Short-term changes include a rapid uptake of bone fluid calcium into osteoblast cells, which in turn pump the calcium into the extracellular fluids. Long-term effects include increased activity and number of osteoclasts, bone cells which act to break down bone matrix and release calcium from bone. All of these effects result in increased blood calcium values. See Bone, Calcium metabolism

Parathyroid hormone inhibits the renal reabsorption of phosphate, thus increasing the urinary output of phosphate. Phosphate reabsorption across the renal tubule is dependent upon sodium transport, and parathyroid hormone interferes with this sodium-dependent phosphate transport in the proximal tubule. Another important effect of parathyroid hormone on the kidney is to increase the renal reabsorption of calcium, thus reducing the loss of calcium in the urine and conserving calcium in the body. See Kidney

Finally, there are reports that parathyroid hormone indirectly stimulates calcium uptake into the body across the intestine. Parathyroid hormone stimulates the production of the most active metabolite of vitamin D, 1,25-dihydroxycholecalciferol, during vitamin D synthesis. This metabolite of vitamin D directly stimulates the intestinal absorption of calcium. See Endocrine system (vertebrate), Parathyroid hormone

parathyroid gland

[¦par·ə′thī‚rȯid ‚gland]
(anatomy)
A paired endocrine organ located within, on, or near the thyroid gland in the neck region of all vertebrates except fishes.
References in periodicals archive ?
This may require surgical intervention in the form of parathyroidectomy, which is workable through a cervical incision in most cases; however, 1%-2% of these patients may require a transsternal or transthoracic approach due to a deeply seated mediastinal parathyroid gland (1, 5).
We performed a retrospective cohort study on 38 patients, from January 2002 to February 2013, at the General Surgery of the Hospital of Brescia with SHPT in haemodialysis regimen submitted to total parathyroidectomy (tPTX) with parathyroid tissue autotransplantation (AT) in the intramuscular (Group 1) or subcutaneous (Group 2) site of the upper nondominant forearm.
The patient underwent total thyroidectomy in May, 2012, with a surgical pathology report diagnosing a multinodular goitre, without the evidence of parathyroid glands.
Thyroid diseases cause mismatch between MIBI scan and neck ultrasound in the diagnosis of hyperfunctioning parathyroids: usefulness of FNA-PTH assay.
We postulated that the thyroid and parathyroid glands would be involved in AIDS patients as evidenced by functional abnormalities and derangements seen in these patients.
They were divided into two groups; 97 patients in Group A had parathyroid glands preserved in situ, while 291 patients in Group B had at least one parathyroid gland autotransplanted in ipsilateral sternocleidomastoid muscle.
The parathyroid glands were the last of the endocrine glands to be discovered; knowledge of their function and treatment of their clinical effects are comparatively recent history.
In conclusion, in a patient with a parathyroid graft in a forearm, PTH must be measured in blood collected from the contralateral arm.
The third branchial pouch gives rise to the thymus and the inferior parathyroid glands, and these structures follow a common route during embryogenesis through part of the neck to their final location.
As small as peppercorns, the four parathyroid glands in the neck nevertheless pack a big punch.
In patients with FMEN1, sometimes more than one group of endocrine glands, such as the parathyroid, the pancreas, and the pituitary become overactive at the same time.
Mammalian parathyroids: morphological and functional implications, Microsc Res Tech 1995, 32: 120-128.