RALPH S. GOLDSMITH, M.D.; LYNWOOD H. SMITH, M.D.
Ever since the syndrome known as idiopathic hypercalciuria was identified by Flocks (1) and Henneman and associates (2), concern over the possibility that the syndrome was caused by underlying hyperparathyroidism has been a recurring theme. Several of the patients initially studied by Henneman's group were, in fact, found, on parathyroid exploration, to have histologically normal glands. Subsequently, Yendt and Gagne (3) recognized that some normocalcemic women with this syndrome had primary hyperparathyroidism and could be cured by parathyroidectomy; they indicated, however, that such may not be the case in men. Shieber and his collaborators (4) reopened the question by reporting
GOLDSMITH RS, SMITH LH. The Chicken or the Egg—Idiopathic Hypercalciuria. Ann Intern Med. ;78:967. doi: 10.7326/0003-4819-78-6-967
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Published: Ann Intern Med. 1973;78(6):967.
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