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We present a rare case of Tertiary HPT patient on hemodialysis for seven years with double parathyroid adenomas that developed after the establishment of kidney failure. This case may give some insight to the factors that might lead to the formation of parathyroid adenomas, and it provides a unique follow-up of biochemical parameters during 7 years of parathyroid adenomas development.Anomalous systemic arterial supply to the basal lung segments is relatively rare. A 39-year-old Japanese man was found to have high serum carbohydrate anti
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