oa South African Family Practice - Hypercalcaemia : a finding not to be taken too lightly : review article
|Article Title||Hypercalcaemia : a finding not to be taken too lightly : review article|
|© Publisher:||Medpharm Publications|
|Journal||South African Family Practice|
|Author||E.K. Venter, F. Naude and B.J. Meyer|
|Publication Date||Jan 2004|
|Pages||33 - 34|
|Keyword(s)||99mTc-sestamibi, Calcium, Myeloma, Parathyroid and Scintigram|
Extracted from text ... Review SA Fam Pract 2004;46(1) 33 INTRODUCTION Many conditions are associated with hypercalcaemia: primary hyperparathyroidism, advanced secondary hyperparathyroidism, milk alkali syndrome, vitamin D intoxication, thiazide diuretic treatment, malignancy with or without bone metastases, and immobilisation. Primary hyperparathyroidism (pHPT) is the most common cause in ambulatory adult patients, but malignancy in hospitalised patients.1 Primary hyperparathyroidism is characterised by excessive bone resorption, pain and tenderness of bones, spontaneous fractures, nephrolithiasis, hypercalcaemia, hypophosphataemia, and an elevated intact serum parathormone level in more than 90 % of patients. pHPT may be the result of hyperplasia of all the parathyroid glands, but in approximately 80 ..
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