Elevated PTH with normal serum calcium level: a structured approach

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Colleges, School and Institutes

Abstract

Normocalcaemic hyperparathyroidism is a common biochemical finding, usually identified during an assessment of bone or renal health. Hypercalcaemia must be considered by calculation of adjusted calcium, and a careful history taken to assess dietary calcium intake and for the possibility of a malabsorption syndrome. 25OHD should be measured and replaced if indicated. The management plan for the patient is influenced by the context in which calcium and PTH were measured. In this brief review we describe the assessment of a patient with normocalcaemic hyperparathyroidism. This article is protected by copyright. All rights reserved.

Details

Original languageEnglish
JournalClinical Endocrinology
Early online date21 Mar 2016
Publication statusE-pub ahead of print - 21 Mar 2016