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  • Title: Primary hyperparathyroidism and familial hyperparathyroid syndromes.
    Author: Blackburn M, Diamond T.
    Journal: Aust Fam Physician; 2007 Dec; 36(12):1029-33. PubMed ID: 18075629.
    Abstract:
    BACKGROUND: Ninety percent of cases of hypercalcaemia are due to primary hyperparathyroidism or hypercalcaemia of malignancy. OBJECTIVE: This article outlines the diagnostic features of primary hyperparathyroidism and determines who would benefit from parathyroidectomy. It also aims to raise awareness of familial hyperparathyroid syndromes. DISCUSSION: Diagnosis of primary hyperparathyroidism requires hypercalcaemia, elevated or inappropriately normal serum parathyroid hormone and a fractional urinary excretion of calcium greater than 0.02. Many patients benefit from parathyroidectomy, which has a high rate of cure.
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