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Evaluation and Management of Elevated Parathyroid Hormone Levels in Normocalcemic Patients.
- Source :
-
The Medical clinics of North America [Med Clin North Am] 2021 Nov; Vol. 105 (6), pp. 1135-1150. Date of Electronic Publication: 2021 Sep 07. - Publication Year :
- 2021
-
Abstract
- Primary hyperparathyroidism is a common endocrine disorder. It used to present as a highly symptomatic disease before the advent of the multichannel autoanalyzer, now usually presenting as mild asymptomatic hypercalcemia. A newer presentation has been increasingly identified in the past two decades, normocalcemic primary hyperparathyroidism, presenting with elevated parathyroid hormone concentrations and consistently normal serum calcium. These patients are usually symptomatic, with parathyroid hormone levels measured in the evaluation for kidney stones or osteoporosis. It is important to exclude causes of secondary hyperparathyroidism. This review will focus on the evaluation and management of elevated parathyroid hormone levels in normocalcemic patients.<br /> (Copyright © 2021 Elsevier Inc. All rights reserved.)
- Subjects :
- Calcium blood
Humans
Hypercalciuria epidemiology
Hyperparathyroidism, Primary blood
Hyperparathyroidism, Primary epidemiology
Parathyroid Hormone blood
Renal Insufficiency epidemiology
Vitamin D Deficiency epidemiology
Hyperparathyroidism, Primary diagnosis
Hyperparathyroidism, Primary physiopathology
Subjects
Details
- Language :
- English
- ISSN :
- 1557-9859
- Volume :
- 105
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- The Medical clinics of North America
- Publication Type :
- Academic Journal
- Accession number :
- 34688419
- Full Text :
- https://doi.org/10.1016/j.mcna.2021.05.017