H. M. Park, M.D.; R. E. Goldsmith, M.D., F.A.C.P.; l-Wen Chen, M.D.; C. Kuntz, M.D.; C. Bahr, M.D.; L. R. King, M.D., F.A.C.P.; William A. Altemeier, M.D.
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Three major clinical problems relating to primary hyperparathyroidism (HPT) have been under investigation in our institution for several years.  Which patient with borderline or definite hypercalcemia actually has HPT?  Which HPT patient has unigland and which has multigland disease?  When has the HPT patient who has undergone operation been "cured"?
We approached the first problem by using serum immunoreactive parathyroid hormone (IPTH) measurement; we approached the second with selective arteriography of parathyroid glands pre-operatively and, recently, by bilateral inferior thyroid vein sampling for IPTH measurement; and we approached the third by assessing function in the parathyroid remnant
Park HM, Goldsmith RE, Chen L, Kuntz C, Bahr C, King LR, et al. An Approach to the Pre- and Post-Operative Assessment of Parathyroid Function in Primary Hyperparathyroidism (HPT).. Ann Intern Med. ;78:816. doi: 10.7326/0003-4819-78-5-816_1
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Published: Ann Intern Med. 1973;78(5):816.
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