The resolution of anemia after curative parathyroidectomy is sustained even after a decade

{Table 1} It is known that elevated parathyroid hormone (PTH) levels correlate with anemia in patients with chronic kidney disease and this persistently elevated PTH leads to marrow fibrosis. [3] The mechanism of anemia in PHPT is multifactorial, including a direct inhibitory effect of PTH on erythropoietin synthesis and bone marrow erythroid progenitors, and PTH-induced bone marrow fibrosis, which is mediated by the effect of increased cytokines (interleukin-6 and tumor necrosis factor-α).