WALTER T. ST. GOAR, M.D.
The gastrointestinal symptoms of primary hyperparathyroidism have been noted repeatedly since the earliest clinical descriptions of the disease. The fourth confirmed case, reported by Boyd, Milgram and Stearns1 in 1929, had periodic attacks of severe abdominal pain and vomiting occurring every three weeks for one year prior to parathyroidectomy, as well as constipation of five years' duration. These symptoms disappeared promptly after operation, and bowel function became normal. The first 115 reported cases of hyperparathyroidism were reviewed in 1934 by Gutman, Swenson and Parsons,2 who pointed out the occurrence of such symptoms as nausea and vomiting, anorexia and epigastric pain.
ST. GOAR WT. GASTROINTESTINAL SYMPTOMS AS A CLUE TO THE DIAGNOSIS OF PRIMARY HYPERPARATHYROIDISM: A REVIEW OF 45 CASES1. Ann Intern Med. ;46:102–118. doi: 10.7326/0003-4819-46-1-102
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Published: Ann Intern Med. 1957;46(1):102-118.
Endocrine and Metabolism, Gastroenterology/Hepatology, Parathyroid Disorders.
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