Abstract：
:Hyperparathyroidism is a common cause of hypercalcemia. The hypercalcemia usually is discovered during a routine serum chemistry profile. Often, there has been no previous suspicion of this disorder. In most patients initially believed to be asymptomatic, previously unrecognized symptoms resolve with surgical correction of the disorder. The symptoms of hyperparathyroidism are vague and often similar to symptoms of depression, irritable bowel syndrome, fibromyalgia or stress reaction. Complications of primary hyperparathyroidism include peptic ulcers, nephrolithiasis, pancreatitis and dehydration. Surgical management is usually indicated. When medical management is used, routine monitoring for clinical deterioration is recommended. Preoperative localization of adenomas with technetium Tc 99m sestamibi scan is possible but may be unnecessary. An experienced surgeon should perform the parathyroidectomy.
journal_name
Am Fam Physicianjournal_title
American family physicianauthors
Allerheiligen DA,Schoeber J,Houston RE,Mohl VK,Wildman KMsubject
Has Abstractpub_date
1998-04-15 00:00:00pages
1795-802, 1807-8issue
8eissn
0002-838Xissn
1532-0650journal_volume
57pub_type
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