GRANT GWINUP, M.D.; BETTYE SAYLE, M.D.
There is no available assay for parathyroid hormone in the serum. In the absence of such a specific determination, it is necessary to rely on nonspecific procedures to differentiate hyperparathyroidism from the other hypercalcemic states. The effect of the administration of corticosteroids on the elevated serum calcium levels is one such procedure currently applied in difficult problems of differential diagnosis. It is the purpose of this report to present an exception to previous experience with this procedure in a patient with proved hyperparathyroidism.
The hypercalcemia of sarcoidosis has consistently responded to steroid administration (1-4). In one case of proved sarcoidosis
GWINUP G, SAYLE B. Cortisone Responsive Hypercalcemia in Proved Hyperparathyroidism. Ann Intern Med. 1961;55:1001–1004. doi: 10.7326/0003-4819-55-6-1001
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Published: Ann Intern Med. 1961;55(6):1001-1004.
Endocrine and Metabolism, Fluid and Electrolyte Disorders, Nephrology.
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