Indications for Parathyroidectomy in Primary Hyperparathyroidism

 • All patients with symptomatic PHPT

 • Serum calcium 1 mg/dL above upper limit of normal

 • Osteoporosis or fragility fracture

 • Age < 50 years

 • Evidence of renal involvement (nephrolithiasis or nephrocalcinosis, 24h urine calcium > 400 mg/dL with increased stone risk, impaired renal function GFR < 60mL/min)



Dominique Tomacruz, MD @DTomacruzMD



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