E. J. H.
Primary hyperparathyroidism, once the disease of "bone and stone," is now known to present such a variety of symptoms and signs (1) that the teacher can no longer describe it to his class in terms of that convenient, if gently fraudulent, synthesis—"the typical case." To the rhyme of "bone and stone" has been added the less musical though alliterative pair of pancreatitis1 and peptic ulcer (3, 4), and recent discussions suggest that this range of clues may have to be stretched to include such previously unrelated disorders as avulsions of tendons (5) and fetal deaths (6). Though hyperparathyroidism is being
H. EJ. Primary Hyperparathyroidism: Problems for Clinician and Chemist. Ann Intern Med. ;57:1052–1053. doi: 10.7326/0003-4819-57-6-1052
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Published: Ann Intern Med. 1962;57(6):1052-1053.
Endocrine and Metabolism, Parathyroid Disorders.
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