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…
ENDOCRINOLOGY
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…
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 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…
Parathyroid Carcinoma
Fig. 10.1 Sonogram of the right side of the neck, sagittal view. (a) A mass (PC) measuring approximately 3.5 × 2.6 × 2.9 cm is seen lying along the inferior and posterior aspect of…
Localization Considerations in Persistent Primary Hyperparathyroidism
Fig. 7.1 4D computed tomography (CT) parathyroid scan demonstrating a 7-mm nodule with mild early arterial enhancement in the upper mediastinum, anterior to the aortic arch and to the right…
Nephrolithiasis in Primary Hyperparathyroidism
© Mayo Foundation for Medical Education and Research 2016Ann E. Kearns and Robert A. Wermers (eds.)Hyperparathyroidism10.1007/978-3-319-25880-5_3 3. Nephrolithiasis in Primary Hyperparathyroidism Johann P. Ingimarsson1 and John C. Lieske2 (1) Department of Urology, Mayo College of Medicine, Mayo Clinic, Rochester,…
Asymptomatic Primary Hyperparathyroidism
Assessment Serum calcium (> upper limit of normal) 1.0 mg/dL (0.25 mmol/L) Skeletal Bone mineral density: T-score ≤2.5 at lumbar spine, total hip, femoral neck, or distal 1/3 radius Vertebral…
