Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Where We Are Indexed
Past Issue Archives
Clinical Communication
In Review
Editorial Board
Information for Authors
Author Form

Reprints, Permissions, & Copyright
Site Map
BACK ISSUE articles are $15 each.
International credit cards NOT accepted.

JCOM Paid Subscribers
user name:
Forgot password?

JCOM Abstract

J Clin Outcomes Manage 
2013 Apr;20(4):181-192
Diagnosis and management of primary hyperparathyroidism
Cusano NE, Bilezikian JP

Abstract Objective: To review new developments in the diagnosis and management of primary hyperparathyroidism. Methods: Review of the literature. Results: Primary hyperparathyroidism is one of the most common endocrine disorders, especially among postmenopausal women. Patients with hypercalcemia can be diagnosed with primary hyperparathyroidism in the setting of elevated or inappropriately normal parathyroid hormone (PTH) levels. A newer presentation of primary hyperparathyroidism has been described, normocalcemic primary hyperparathyroidism, in which patients have normal total and ionized serum calcium concentrations and consistently elevated PTH levels, excluding secondary etiologies of hyperparathyroidism. Most patients with pri-mary hyperparathyroidism present asymptomatically, although decreased bone density at the distal 1/3 radius site is usually noted at the time of diagnosis. Conclusion: Patients with symptomatic primary hyperparathyroidism and those with asymptomatic disease who meet criteria for surgery should be advised to have surgical removal of the abnormal parathyroid gland(s). Those who do not meet criteria for surgery can be managed nonoperatively with surveillance by biochemical and densitometric measurements. Pharmacologic options are available for those who meet surgical criteria but either refuse surgery or are not deemed suitable for surgery.

Case-Based Review

Search the Turner White index to find abstracts of articles published in JCOM.

New issues are posted one month following publication of the printed journal.

View past issue archives:    2013    2012    2011    2010    2009    2008    2007
   2006    2005    2004    2003     2002     2001     2000     1999

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2018, Turner White Communications
Updated 1/20/14 • jdw