Ectopic Parathyroid Adenoma
Analyte Results Reference range Calcium 10.5 8.9–10.1 mg/dL Parathyroid hormone (PTH) 68 15–65 pg/mL Creatinine 0.8 0.6–1.1 mg/dL 25-hydroxyvitamin D 31 20–50 ng/mL 24-h urine calcium excretion 439 25–300 mg/24…
Tertiary Hyperparathyroidism
Fig. 20.1 Intraoperative parathyroid hormone levels after sequential resection of hyperplastic right inferior and left inferior parathyroid glands to treat tertiary hyperparathyroidism in a patient with pseudohypoparathyroidism type Ib Outcome…
Secondary Hyperparathyroidism
© Mayo Foundation for Medical Education and Research 2016Ann E. Kearns and Robert A. Wermers (eds.)Hyperparathyroidism10.1007/978-3-319-25880-5_19 19. Secondary Hyperparathyroidism Nishanth Vallumsetla1 , Manpreet S. Mundi1 and Kurt A. Kennel1 (1) Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Department of Internal Medicine,…
Normocalcemic Primary Hyperparathyroidism
Analyte 3 months previously Current presentation Reference range Calcium 9.5 9.6 8.9–10.1 mg/dL Phosphorus 1.9 2.0 2.5–4.5 mg/dL Creatinine 0.5 0.7 0.6–1.1 mg/dL Parathyroid hormone 103.5 81.2 15–65 pg/mL 25-hydroxyvitamin…
Severe Primary Hyperparathyroidism
Fig. 2.1 (Left) X-ray of left femur showing subtrochanteric fracture and lytic lesion. (Right) X-ray of left distal femur showing lucent lesions (arrows) Her hypercalcemia was treated with aggressive intravenous…
Medication Considerations in Hypercalcemia and Hyperparathyroidism
© Mayo Foundation for Medical Education and Research 2016Ann E. Kearns and Robert A. Wermers (eds.)Hyperparathyroidism10.1007/978-3-319-25880-5_17 17. Medication Considerations in Hypercalcemia and Hyperparathyroidism Robert A. Wermers1 and Marcio L. Griebeler2 (1) Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Department…
Primary Hyperparathyroidism: Association with Coexistent Secondary Causes of Hypercalcemia
Differential diagnosis PTH excess Malignancy Non-PTH endocrine causes Granulomatous disease Medications Miscellaneous PHPT Parathyroid adenoma Parathyroid carcinoma Multiglandular hyperplasia as part of MEN syndromes (MEN1 and 2A) FIH HPT-JT HHM…
Primary Hyperparathyroidism in Pregnancy
© Mayo Foundation for Medical Education and Research 2016Ann E. Kearns and Robert A. Wermers (eds.)Hyperparathyroidism10.1007/978-3-319-25880-5_15 15. Primary Hyperparathyroidism in Pregnancy Haleigh James1 , Geoffrey B. Thompson2 and Robert A. Wermers1 (1) Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Department of…
Medical Management of Primary Hyperparathyroidism
© Mayo Foundation for Medical Education and Research 2016Ann E. Kearns and Robert A. Wermers (eds.)Hyperparathyroidism10.1007/978-3-319-25880-5_13 13. Medical Management of Primary Hyperparathyroidism Ann E. Kearns1 (1) Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Department of Internal Medicine,…
Familial Hypocalciuric Hypercalcemia
Sporadic primary hyperparathyroidism Familial primary hyperparathyroidism Adenoma (85 %) Isolated Hyperplasia (15 %) MEN1 Carcinoma (<1 %) MEN2A MEN4 Hyperparathyroidism-jaw tumor Familial hypocalciuric hypercalcemia Tertiary hyperparathyroidism Autoimmune hypocalciuric hypercalcemia Chronic…
