Primary Hyperparathyroidism: Evaluation and Current Management Guidelines

Primary hyperparathyroidism (PHPT) is a common disorder of disordered parathyroid function from one or more of the four parathyroid glands. A disease predominantly of postmenopausal women, it is characterized usually by hypercalcemia and elevated or inappropriately “normal” levels of circulating parathyroid hormone (PTH). Another common phenotype in which the serum calcium is consistently normal, but the PTH level is consistently elevated, in …