Pitfalls in parathyroid evaluation in patients with calcium urolithiasis

Donald E. Barilla, Charles Y C Pak

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Primary hyperparathyroidism is a major cause of calcium urolithiasis and is easily recognised when it is classically manifested. However, subtle presentations of primary hyperparathyroidism may cause confusion with other causes of calcium stone disease or cause diagnostic difficulty. Several pitfalls of parathyroid evaluation and treatment are illustrated by four cases of calcium urolithiasis. Cases 1 and 2 represent ineffective or useless parathyroid surgery rendered for renal hypercalciuria and absorptive hypercalciuria, respectively. Cases 3 and 4 had mild or intermittent hypercalcaemia. The correct diagnosis of primary hyperparathyroidism was made in Case 3 by parathyroid venous sampling and bone densitometry. In Case 4, the thiazide provocative test was used to establish the diagnosis of primary hyperparathyroidism.

Original languageEnglish (US)
Pages (from-to)177-182
Number of pages6
JournalUrological Research
Volume7
Issue number3
DOIs
StatePublished - Sep 1979

Fingerprint

Urolithiasis
Primary Hyperparathyroidism
Calcium
Hypercalciuria
Thiazides
Densitometry
Hypercalcemia
Kidney
Bone and Bones
Therapeutics

Keywords

  • Hyperparathyroidism
  • Nephrolithiasis

ASJC Scopus subject areas

  • Urology

Cite this

Pitfalls in parathyroid evaluation in patients with calcium urolithiasis. / Barilla, Donald E.; Pak, Charles Y C.

In: Urological Research, Vol. 7, No. 3, 09.1979, p. 177-182.

Research output: Contribution to journalArticle

@article{4c8c2a62773745c49c5832bd14eabecb,
title = "Pitfalls in parathyroid evaluation in patients with calcium urolithiasis",
abstract = "Primary hyperparathyroidism is a major cause of calcium urolithiasis and is easily recognised when it is classically manifested. However, subtle presentations of primary hyperparathyroidism may cause confusion with other causes of calcium stone disease or cause diagnostic difficulty. Several pitfalls of parathyroid evaluation and treatment are illustrated by four cases of calcium urolithiasis. Cases 1 and 2 represent ineffective or useless parathyroid surgery rendered for renal hypercalciuria and absorptive hypercalciuria, respectively. Cases 3 and 4 had mild or intermittent hypercalcaemia. The correct diagnosis of primary hyperparathyroidism was made in Case 3 by parathyroid venous sampling and bone densitometry. In Case 4, the thiazide provocative test was used to establish the diagnosis of primary hyperparathyroidism.",
keywords = "Hyperparathyroidism, Nephrolithiasis",
author = "Barilla, {Donald E.} and Pak, {Charles Y C}",
year = "1979",
month = "9",
doi = "10.1007/BF00257203",
language = "English (US)",
volume = "7",
pages = "177--182",
journal = "Urolithiasis",
issn = "2194-7228",
publisher = "Springer Verlag",
number = "3",

}

TY - JOUR

T1 - Pitfalls in parathyroid evaluation in patients with calcium urolithiasis

AU - Barilla, Donald E.

AU - Pak, Charles Y C

PY - 1979/9

Y1 - 1979/9

N2 - Primary hyperparathyroidism is a major cause of calcium urolithiasis and is easily recognised when it is classically manifested. However, subtle presentations of primary hyperparathyroidism may cause confusion with other causes of calcium stone disease or cause diagnostic difficulty. Several pitfalls of parathyroid evaluation and treatment are illustrated by four cases of calcium urolithiasis. Cases 1 and 2 represent ineffective or useless parathyroid surgery rendered for renal hypercalciuria and absorptive hypercalciuria, respectively. Cases 3 and 4 had mild or intermittent hypercalcaemia. The correct diagnosis of primary hyperparathyroidism was made in Case 3 by parathyroid venous sampling and bone densitometry. In Case 4, the thiazide provocative test was used to establish the diagnosis of primary hyperparathyroidism.

AB - Primary hyperparathyroidism is a major cause of calcium urolithiasis and is easily recognised when it is classically manifested. However, subtle presentations of primary hyperparathyroidism may cause confusion with other causes of calcium stone disease or cause diagnostic difficulty. Several pitfalls of parathyroid evaluation and treatment are illustrated by four cases of calcium urolithiasis. Cases 1 and 2 represent ineffective or useless parathyroid surgery rendered for renal hypercalciuria and absorptive hypercalciuria, respectively. Cases 3 and 4 had mild or intermittent hypercalcaemia. The correct diagnosis of primary hyperparathyroidism was made in Case 3 by parathyroid venous sampling and bone densitometry. In Case 4, the thiazide provocative test was used to establish the diagnosis of primary hyperparathyroidism.

KW - Hyperparathyroidism

KW - Nephrolithiasis

UR - http://www.scopus.com/inward/record.url?scp=0018638591&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0018638591&partnerID=8YFLogxK

U2 - 10.1007/BF00257203

DO - 10.1007/BF00257203

M3 - Article

C2 - 505680

AN - SCOPUS:0018638591

VL - 7

SP - 177

EP - 182

JO - Urolithiasis

JF - Urolithiasis

SN - 2194-7228

IS - 3

ER -