L.E. MALLETTE, MD., PH.D.
To the editor: We agree with Warner and Santen (1) that it is difficult to know how strongly to weigh complications of hyperparathyroidism such as anemia, hypertension, and muscular, psychiatric, or articular symptoms in deciding on surgical treatment, and that an adequate pharmacologic approach is needed. Unlike Warner and Santen, however, we believe that surgery for primary hyperparathyroidism usually is curative. We find normal immunoreactive parathyroid hormone levels after surgery, except in patients with renal insufficiency or transient hypocalcemia related to the "hungry bones syndrome" (2). Any remaining subtle abnormality in regulation of parathyroid hormone secretion is probably of no
MALLETTE L. Mild Hyperparathyroidism. Ann Intern Med. ;97:622–623. doi: 10.7326/0003-4819-97-4-622_3
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Published: Ann Intern Med. 1982;97(4):622-623.
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