Skip to main content
Device Global Header

Subscribe
or Renew

Advanced Search

This article is available to subscribers. Subscribe now. Already have an account? Sign in

Clinical PracticeFree Preview

Asymptomatic Primary Hyperparathyroidism

List of authors.
  • John P. Bilezikian, M.D.,
  • and Shonni J. Silverberg, M.D.

A 60-year-old woman is noted incidentally to have a calcium level of 10.8 mg per deciliter (normal range, 8.4 to 10.2 mg per deciliter). The parathyroid hormone level is 84 pg per milliliter (normal range, 10 to 65). She has never had a kidney stone or a fracture, and she feels well. Her urinary calcium excretion is normal. Her bone density is within 0.5 SD of the peak bone mass at the lumbar spine and the hip and is 1.0 SD below the peak bone mass at the forearm. How should her case be managed?

Continue reading this article

Select an option below:

Create your account to get 2 free subscriber-only articles each month.

Get Free Access Now Subscribe For Full Access

Already have an account?

Sign In

Print subscriber?

Activate your online access.

Funding and Disclosures

Supported by a grant (NIDDK 32333) from the National Institute of Diabetes and Digestive and Kidney Diseases.

Author Affiliations

From the Departments of Medicine (J.P.B., S.J.S.) and Pharmacology (J.P.B.), College of Physicians and Surgeons, Columbia University, New York.

Address reprint requests to Dr. Bilezikian at the Department of Medicine, College of Physicians and Surgeons, 630 W. 168th St., New York, NY 10032.

Print Subscriber? Activate your online access.