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Primary hyperparathyroidism

Injury	Disease	Nutrition	Poison

Symptoms	Surgery	Test	Special Topic

Endocrine glands

Endocrine glands

Parathyroid glands

Parathyroid glands

Primary hyperparathyroidism

Alternative Names:

Parathyroid-related hypercalcemia
Symptoms:

Fatigue
Fractures
Decreased height
Upper abdominal pain
Loss of appetite
Nausea
Muscular weakness
Muscle pain
Depression
Personality changes
Stupor and possibly coma
Kidney stones
Increased urination

Signs and tests:

Radioimmunoassay of parathyroid hormone shows an increased level.
Serum calcium is increased.
Serum phosphorus may be decreased.
Serum alkaline phosphatase may be increased.
Bone x-ray may show bone reabsorption or fractures.
Imaging of the kidneys or ureters may show calcification or obstruction.
ECG may show abnormalities.

This disease may also alter the results of the following tests:

Calcium - urine
Calcium (ionized)
Bone density
Markers of bone resorption (N-telopeptide, pyridinoline, and deoxypryridinoline)

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