Asymptomatic Primary Hyperparathyroidism
Open Access
- 22 April 2004
- journal article
- review article
- Published by Massachusetts Medical Society in The New England Journal of Medicine
- Vol. 350 (17), 1746-1751
- https://doi.org/10.1056/nejmcp032200
Abstract
A 60-year-old woman is noted incidentally to have a calcium level of 10.8 mg per deciliter (normal range, 8.4 to 10.2 mg per deciliter). The parathyroid hormone level is 84 pg per milliliter (normal range, 10 to 65). She has never had a kidney stone or a fracture, and she feels well. Her urinary calcium excretion is normal. Her bone density is within 0.5 SD of the peak bone mass at the lumbar spine and the hip and is 1.0 SD below the peak bone mass at the forearm. How should her case be managed?Keywords
This publication has 34 references indexed in Scilit:
- “Incipient” Primary Hyperparathyroidism: A “Forme Fruste” of an Old DiseaseJournal of Clinical Endocrinology & Metabolism, 2003
- Effect of Parathyroid Hormone (1-34) on Fractures and Bone Mineral Density in Postmenopausal Women with OsteoporosisThe New England Journal of Medicine, 2001
- Longitudinal Changes in Bone Density in HyperparathyroidismJournal of Clinical Densitometry, 1999
- Vertebral osteopenia: a new indication for surgery in primary hyperparathyroidismJournal of Clinical Endocrinology & Metabolism, 1996
- Longitudinal changes in bone mineral density and bone turnover in postmenopausal women with primary hyperparathyroidismJournal of Clinical Endocrinology & Metabolism, 1996
- Psychologic symptoms before and after parathyroid surgeryThe American Journal of Medicine, 1994
- Neuromuscular involvement in mild, asymptomatic primary hyperparathyroidismThe American Journal of Medicine, 1989
- Skeletal disease in primary hyperparathyroidismJournal of Bone and Mineral Research, 1989
- Primary HyperparathyroidismThe New England Journal of Medicine, 1980
- The Story of Hyperparathyroidism at the Massachusetts General HospitalThe New England Journal of Medicine, 1966