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Sporadic and hereditary primary hyperparathyroidism.
[familial hypocalciuric hypercalcemia]
Primary
hyperparathyroidism
(
PHPT
)
is
a
common
endocrine
disorder
,
particularly
frequent
in
post-menopausal
women
.
It
is
characterized
by
hypercalcemia
with
inappropriately
high
spontaneous
plasma
PTH
.
Singlegland
adenoma
is
the
most
common
cause
(
75
-
85
%
)
.
PHPT
is
usually
a
sporadic
disease
but
in
approximately
<
5
%
of
cases
,
a
familial
hyperparathyroid
syndrome
is
diagnosed
.
Familial
hyperparathyroidism
is
a
clinically
and
genetically
heterogeneous
group
of
disorders
including
:
multiple
endocrine
neoplasia
(
MEN
)
type
1
,
MEN
type
2
A
,
MEN
4
,
benign
familial
hypocalciuric
hypercalcemia
,
neonatal
severe
hyperparathyroidism
,
hyperparathyroidism-jaw
tumor
syndrome
,
and
familial
isolated
hyperparathyroidism
.
These
syndromes
show
mendelian
inheritance
patterns
and
the
main
genes
for
most
of
them
have
been
defined
.
The
classic
form
of
PHPT
,
which
presents
with
hypercalcemia
,
kidney
stones
,
and
bone
disease
,
is
no
longer
common
.
Currently
,
there
is
an
increasing
interest
in
the
subtle
manifestations
of
PHPT
,
particularly
the
cardiovascular
and
neuropsychiatric
manifestations
.
Parathyroidectomy
is
the
definitive
cure
for
PHPT
even
though
patients
with
the
asymptomatic
form
of
the
disease
can
be
followed
conservatively
.
Diseases
Validation
Diseases presenting
"tumor syndrome"
symptom
cowden syndrome
familial hypocalciuric hypercalcemia
lymphangioleiomyomatosis
pendred syndrome
proteus syndrome
von hippel-lindau disease
werner syndrome
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