Primary hyperparathyroidism in the older person.
Primary hyperparathyroidism (PHPT) is a common condition which may have few symptoms. One of the principal concerns in the older person with minimally symptomatic PHPT is restoration of bone mineral density and prevention of fracture. Other important considerations are cardiovascular risk and quality of life. Surgery, the traditional treatment of choice, may not always correct these factors. We present a review of the literature and advice of medical therapies which should be of benefit, with emphasis on a multifaceted approach in protecting the patient from PHPT.
Conroy
Simon
S
Department of Care for the Elderly, Bedford Hospital, Britannia Road, Bedford MK42 9DJ, UK. spcon@doctors.org.uk
Moulias
Sophie
S
Wassif
Wassif S
WS
D000368:Aged; D015519:Bone Density; D002118:Calcium / Q000097:blood; D003937:Diagnosis, Differential; D005598:Fractures, Spontaneous / Q000175:diagnosis / Q000517:prevention & control; D006801:Humans; D006961:Hyperparathyroidism / Q000150:complications / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D010281:Parathyroid Hormone / Q000097:blood; D016105:Parathyroidectomy; D010348:Patient Care Team; D011183:Postoperative Complications / Q000401:mortality; D015996:Survival Rate; D016896:Treatment Outcome
D010281:Parathyroid Hormone; D002118:Calcium