title: Hypercalcemia: an unusual etiology of a common menopausal symptom.
abstract: OBJECTIVE
  To describe atypical vasomotor symptoms that were secondary to primary hyperparathyroidism.
  
  
  METHODS
  Case report.
  
  
  METHODS
  University medical center.
  
  
  METHODS
  A 57-year-old, postmenopausal woman with recalcitrant hot flushes.
  
  
  METHODS
  Parathyroid adenomectomy.
  
  
  METHODS
  Vasomotor symptom relief.
  
  
  RESULTS
  Postoperative relief of atypical vasomotor symptoms.
  
  
  CONCLUSIONS
  A patient 17 years postmenopause presented with atypical vasomotor symptoms that did not respond to hormone therapy and proved to be due to hypercalcemia secondary to primary hyperparathyroidism. An atypical manifestation of a common condition or an uncharacteristic therapeutic response should alert health care providers to the possibility of a different diagnosis.
authors.affiliation: Sanford School of Medicine, University of South Dakota, Sioux Falls, South Dakota 57105-1503, USA.
authors.forename: Abrea
authors.initials: A
authors.lastname: Roark
authors.forename: Brian P
authors.initials: BP
authors.lastname: Wilson
authors.forename: Kathleen M
authors.initials: KM
authors.lastname: Eyster
authors.forename: Gary L
authors.initials: GL
authors.lastname: Timmerman
authors.forename: Brandon L
authors.initials: BL
authors.lastname: Allard
authors.forename: Keith A
authors.initials: KA
authors.lastname: Hansen
mesh_terms: D000236:Adenoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D019584:Hot Flashes / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D006934:Hypercalcemia / Q000175:diagnosis / Q000209:etiology*; D006980:Hyperthyroidism / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D010282:Parathyroid Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D016105:Parathyroidectomy; D017698:Postmenopause; D011247:Pregnancy; D016896:Treatment Outcome