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Brief clinical report| Volume 113, ISSUE 6, P716-718, June 1993

Coexisting hyperthyroidism and primary hyperparathyroidism

  • Boulos Toursarkissian
    Affiliations
    Department of Surgery, University of Kentucky Chandler Medical Center, Lexington, Ky., USA

    Veterans Affairs Medical Center, Lexington, Ky., USA
    Search for articles by this author
  • David A. Sloan
    Affiliations
    Department of Surgery, University of Kentucky Chandler Medical Center, Lexington, Ky., USA

    Veterans Affairs Medical Center, Lexington, Ky., USA
    Search for articles by this author
  • Richard W. Schwartz
    Correspondence
    Reprint requests: Richard W. Schwartz, MD, Division of General Surgery, Department of Surgery, University of Kentucky Medical Center, 800 Rose St., Lexington, KY 40536-0084.
    Affiliations
    Department of Surgery, University of Kentucky Chandler Medical Center, Lexington, Ky., USA

    Veterans Affairs Medical Center, Lexington, Ky., USA
    Search for articles by this author
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      Abstract

      The simultaneous occurrence of hyperthyroidism and primary hyperparathyroidism is rare in the absence of previous neck irradiation. We report two cases from our institution. Hypercalcemia secondary to hyperthyroidism is common and may obfuscate the diagnosis of concomitant primary hyperparathyroidism. Therefore the continued presence of hypercalcemia in a patient with successfully treated hyperthyroidism should lead the physician to search for primary hyperparathyroidism. Treatment of these concomitant disease processes consists of combined thyroidectomy and parathyroidectomy.
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