ELMER C. BARTELS, M.D., F.A.C.P.; CHARLES B. KIMMEL, M.D.
The clinical syndrome of hyperparathyroidism has been established. The literature contains many articles by competent investigators giving the salient features of this disease with the requisites for diagnosis. Since surgical intervention, especially early in the disease, may result in cure it is important that physicians should bear this condition in mind, especially when bone pain or pathologic fracture, with roentgenologic findings of decalcification of the skeleton are present. An essential diagnostic feature of hyperparathyroidism is an elevation of blood calcium, usually to above 12 mg. per 100 c.c.
The presence of hypercalcemia even to a marked degree does not invariably
BARTELS EC, KIMMEL CB. METASTATIC CARCINOMA SIMULATING HYPERPARATHYROIDISM1. Ann Intern Med. ;13:1747–1752. doi: 10.7326/0003-4819-13-9-1747
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Published: Ann Intern Med. 1940;13(9):1747-1752.
Endocrine and Metabolism, Hematology/Oncology, Parathyroid Disorders.
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