Recurrent primary hyperparathyroidism: a diagnostic and management dilemma

Recurrent Acute Pancreatitis: A Diagnostic Clue to Primary Hyperparathyroidism

Primary tubercular sialadenitis – A diagnostic dilemma

Introduction: Involvement of the salivary glands in tuberculosis is rare, even in countries where tuberculosis is endemic. It can occur by systemic dissemination from a distant focus or, less commonly, as primary involvement. This article focuses on its myriad clinical presentations that pose a diagnostic challenge to the clinician. We discuss the schema of investigations required to confirm t...

recurrent acute pancreatitis: a diagnostic clue to primary hyperparathyroidism

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Recurrent Acute Pancreatitis: A Diagnostic Clue to Primary Hyperparathyroidism

Iran J Med Sci July 2016; Vol 41 No 4 361 Dear Editor, Acute pancreatitis induced by hypercalcemia due to primary hyperparathyroidism (PHPT) is a very rare condition, and its prevalence is estimated to be between 1.5% and 7%.1 Studies from India report an incidence between 6.8% and 12%.2 However, in patients with PHPT and resulting hypercalcemia, pancreatitis occurs 10 to 20 times more often th...

Persistent or recurrent primary hyperparathyroidism.

More than 95% of patients with Primary Hyperparathyroidism (PHPT) are treated successfully at the initial operation when the operation is done by an experienced surgeon, but the success rate is considerably lower when done by an unexperienced surgeon. The approach to patients with persistent and recurrent PHPT is to confirm the diagnosis and to use precise localization procedures done by expert...