BARRY A. WARNER, D.O.; RICHARD J. SANTEN, M.D.
To the editor: It seems appropriate that, only a few short months after the Mayo Clinic's 10-year follow-up on patients with asymptomatic primary hyperparathyroidism (1) was reported, the Annals should publish a paper exploring the medical management of that disease (2). The Mayo Clinic group (1) found that only 24.6% of patients who presented asymptomatically went on to develop surgical indications including serum calcium levels greater than 11.0 mg/dL, roentgenographic evidence of bone disease, decreased renal function, metabolically active or infected renal lithiasis, impracticality for prolonged observation, or gastrointestinal complications. This fact and the realization that fully 75% of patients
WARNER BA, SANTEN RJ. Asymptomatic Primary Hyperparathyroidism. Ann Intern Med. ;97:142–143. doi: 10.7326/0003-4819-97-1-142
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Published: Ann Intern Med. 1982;97(1):142-143.
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