Clinical Presentation of Primary Hyperparathyroidism in Older Adults

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Clinical Presentation, Management, and Outcomes of Primary Hyperparathyroidism during Pregnancy

Background Primary hyperparathyroidism (pHPT) in pregnancy is a rare event, but it poses a significant risk to mothers and fetuses. The optimal treatment strategy remains controversial. Methods We present a consecutive series of twelve pregnant women with pHPT. Results Twelve women were diagnosed with pHPT during pregnancy or in the postpartum period. Four of them presented no symptoms or m...

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Primary hyperparathyroidism in the older person.

Primary hyperparathyroidism (PHPT) is a common condition which may have few symptoms. One of the principal concerns in the older person with minimally symptomatic PHPT is restoration of bone mineral density and prevention of fracture. Other important considerations are cardiovascular risk and quality of life. Surgery, the traditional treatment of choice, may not always correct these factors. We...

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Primary hyperparathyroidism--a clinical study.

Fifteen patients with primary hyperparathyroidism were seen over a l4-year period in the University Hospital, Kuala Lumpur, Malaysia. Seven patients presented predominantly with bone disease, 5 with urolithiasis and 3 patients wereasymptomatic. Other complications included acute psychosis, pancreatitis, myopathy and renal tubular acidosis. One patient had multiple endocrine adenomatosis (MEA) T...

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Unusual presentation in a case of primary hyperparathyroidism

This report describes a case of classic severe primary hyperparathyroidism (PH) with clinical presentation that is very infrequent nowadays, which was osteitis fibrosa cystica. As bone scintigraphy demonstrated multiple areas of increasing uptake associated with hypercalcemia, a thorough investigation was conducted to exclude the neoplasms which most frequently are responsible for bone secondar...

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Vitamin D in Primary Hyperparathyroidism: Effects on Clinical, Biochemical, and Densitometric Presentation.

CONTEXT Vitamin D (25-hydroxyvitamin D [25OHD]) deficiency (<20 ng/mL) and insufficiency (20-29 ng/mL) are common in primary hyperparathyroidism (PHPT), but data regarding their skeletal effects in PHPT are limited. OBJECTIVE The objective was to evaluate the association between 25OHD levels and PHPT severity. DESIGN, SETTINGS, AND PARTICIPANTS This is a cross-sectional analysis of 100 PHPT...

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ژورنال

عنوان ژورنال: Journal of the Endocrine Society

سال: 2019

ISSN: 2472-1972

DOI: 10.1210/js.2019-00316