title: Primary hyperparathyroidism---a review of cases in the Sheffield area.
abstract: 73 patients with primary hyperparathyroidism are reviewed. The elevated serum calcium was the main diagnostic index but estimation of the parathyroid hormone was useful confirmatory evidence when raised. A normal level does not exclude the diagnosis being found in 32% of patients. Intravenous methylene blue was a useful adjunct to surgery. 95% of the patients had relief of their hypercalcaemia after a single operation. 78% of patients had stones and there was a marked reduction in further stone formation after surgery.
mesh_terms: D000236:Adenoma / Q000209:etiology; D000328:Adult; D000368:Aged; D002118:Calcium / Q000097:blood / Q000652:urine; D005260:Female; D006801:Humans; D006934:Hypercalcemia / Q000209:etiology; D006961:Hyperparathyroidism / Q000150:complications / Q000175:diagnosis / Q000473:pathology; D007669:Kidney Calculi / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010282:Parathyroid Neoplasms / Q000209:etiology; D012189:Retrospective Studies
chemical_list: D002118:Calcium