title: Primary hyperparathyroidism: problems in management.
abstract: Most hyperparathyroidism is subclinical, with no complaints of bone pain, constipation, mental confusion, or depression, no skeletal findings on x-ray, and no history of kidney stones. Routine hyperparathyroidectomy for asymptomatic hypercalcemia, with normal bone density and normal calciuria, particularly with moderate elevations of serum calcium, is now generally rejected.
authors.affiliation: Albert Einstein College of Medicine, Bronx, N.Y.
authors.forename: U S
authors.initials: US
authors.lastname: Barzel
mesh_terms: D000236:Adenoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D006961:Hyperparathyroidism / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D010280:Parathyroid Glands / Q000473:pathology; D010282:Parathyroid Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D016105:Parathyroidectomy; D012086:Reoperation; D013997:Time Factors