title: Hyperparathyroidism.
abstract: Hyperparathyroidism is a common cause of hypercalcemia. The hypercalcemia usually is discovered during a routine serum chemistry profile. Often, there has been no previous suspicion of this disorder. In most patients initially believed to be asymptomatic, previously unrecognized symptoms resolve with surgical correction of the disorder. The symptoms of hyperparathyroidism are vague and often similar to symptoms of depression, irritable bowel syndrome, fibromyalgia or stress reaction. Complications of primary hyperparathyroidism include peptic ulcers, nephrolithiasis, pancreatitis and dehydration. Surgical management is usually indicated. When medical management is used, routine monitoring for clinical deterioration is recommended. Preoperative localization of adenomas with technetium Tc 99m sestamibi scan is possible but may be unnecessary. An experienced surgeon should perform the parathyroidectomy.
authors.affiliation: University of Wyoming School of Human Medicine Family Practice Residency Program, Casper, USA.
authors.forename: D A
authors.initials: DA
authors.lastname: Allerheiligen
authors.forename: J
authors.initials: J
authors.lastname: Schoeber
authors.forename: R E
authors.initials: RE
authors.lastname: Houston
authors.forename: V K
authors.initials: VK
authors.lastname: Mohl
authors.forename: K M
authors.initials: KM
authors.lastname: Wildman
mesh_terms: D003937:Diagnosis, Differential; D006801:Humans; D006961:Hyperparathyroidism / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D010353:Patient Education as Topic; D013664:Teaching Materials