JOHN P. BILEZIKIAN, M.D.
Primary hyperparathyroidism is a common disorder of mineral metabolism characterized by the excessive secretion of parathyroid hormone and an elevated serum calcium level. Most patients have a single adenomatous parathyroid gland, but hyperplasia of all four parathyroid glands occurs in about 15% to 20% of patients. Primary hyperparathyroidism is often discovered in patients after a routine multichannel screening test obtained in the course of an evaluation for other reasons (1, 2). For these patients, because they appear to be asymptomatic and without any of the potential complications of primary hyperparathyroidism, surgical removal of the adenomatous or hyperplastic parathyroid tissue is
JOHN P. BILEZIKIAN. Surgery or No Surgery for Primary Hyperparathyroidism. Ann Intern Med. 1985;102:402–403. doi: 10.7326/0003-4819-102-3-402
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Published: Ann Intern Med. 1985;102(3):402-403.
Endocrine and Metabolism, Parathyroid Disorders.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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