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Opinion regarding hypercalcemia with a parathyroid hormone level of <50 pg/mL: Is this primary hyperparathyroidism?

Published:January 07, 2023DOI:https://doi.org/10.1016/j.surg.2022.11.023
      We have read the article “Hypercalcemia with a Parathyroid Hormone Level of ≤50 pg/mL: Is This Primary Hyperparathyroidism?” by Wang R et al, with full interest.
      • Wang R.
      • Abraham P.
      • Fazendin J.
      • Lindeman B.
      • Chen H.
      Hypercalcemia with a parathyroid hormone level of ≤50 pg/mL: is this primary hyperparathyroidism?.
      At the outset, we appreciate the contribution and efforts of authors in highlighting the dilemma of biochemical confirmation of primary hyperparathyroidism (PHPT) in the absence of raised parathyroid hormone (PTH). We have some queries and comments.
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      References

        • Wang R.
        • Abraham P.
        • Fazendin J.
        • Lindeman B.
        • Chen H.
        Hypercalcemia with a parathyroid hormone level of ≤50 pg/mL: is this primary hyperparathyroidism?.
        Surgery. 2023; 173: 154-159
        • Randle R.W.
        • Lee C.Y.
        Should the duration of primary hyperparathyroidism impact guidelines for evaluation and treatment?.
        Surgery. 2019; 165: 105-106
        • Singh K.
        • Khattar M.
        • Kumar C.
        Disagreement: should the duration of primary hyperparathyroidism impact guidelines for evaluation and treatment?.
        Surgery. 2019; 166: 949-950

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