title: Indications for surgery in patients with minimally symptomatic primary hyperparathyroidism.
abstract: Primary hyperparathyroidism often presents with minimal symptoms. Surgery has been advocated for those patients who are severely hypercalcemic, are young, have reduced bone density or reduced renal function, and have marked hypercalciuria. The natural history of primary hyperparathyroidism and the basis for these recommendations are discussed.
authors.affiliation: Department of Medicine, University of California, San Francisco, USA.
authors.forename: G J
authors.initials: GJ
authors.lastname: Strewler
mesh_terms: D000367:Age Factors; D015519:Bone Density; D002118:Calcium / Q000652:urine; D006801:Humans; D006934:Hypercalcemia / Q000601:surgery; D006961:Hyperparathyroidism / Q000503:physiopathology / Q000601:surgery* / Q000652:urine; D007668:Kidney / Q000503:physiopathology; D008875:Middle Aged; D016105:Parathyroidectomy
chemical_list: D002118:Calcium