Typical textbook indications for parathyroid surgery include “the unequivocal evidence of secondary hyperparathyroidism (very high levels of serum PTH and/or the presence of osteitis fibrosa on bone biopsy), together with any of the following: (1) persistent hypercalcemia not attributable to other causes; (2) persistent hyperphosphatemia despite proper use of phosphate binders; (3) serum Ca × P [calcium times phosphorus] product that consistently exceeds 70 to 75 mg2/dl2; (4) progressive skeletal and articular pain, fractures, or deformities as a result of secondary HPT; and (5) calciphylaxis.
Posted on: Wed, 02 Apr 2014 00:20:22 +0000
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