Normocalcemic primary hyperparathyroidism in clinical practice: an indolent condition or a silent threat?
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Publication Date: | 2011 |
Other Authors: | , , , , |
Format: | Article |
Language: | eng |
Source: | Arquivos Brasileiros de Endocrinologia & Metabologia (Online) |
Download full: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302011000500003 |
Summary: | OBJECTIVE: To describe the characteristics of normocalcemic primary hyperparathyroidism (NPHPT) in patients seen for osteoporosis evaluation. PATIENTS AND METHODS: We examined the records of 156 women who came to the hospital to be screened for osteoporosis. Measurements of total calcium, PTH, 25-hydroxy vitamin D, and β-C-telopeptide were recorded. Bone mineral density and T-scores were evaluated by densitometry of the lumbar spine, femoral neck and distal one-third of the radius. The latter was only measured in patients with primary hyperparathyroidism. Nephrolithiasis and bone fractures were documented by a review of the medical records. RESULTS: We identified 14 patients with NPHPT, accounting for 8.9% of the population studied. In the medical records, the occurrence of kidney stones was reported in 28.6% of the patients with NPHPT, in contrast with only 0.7% of the noncarriers. Regarding the presence of general fractures, 21.4% of the patients with NPHPT were affected versus 16.2% of noncarriers. CONCLUSION: Data from our study suggest that NPHPT has a diverse phenotypic presentation, implying that this may not be an "indolent" disease. |
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Normocalcemic primary hyperparathyroidism in clinical practice: an indolent condition or a silent threat?Normocalcemic hyperparathyroidismosteoporosisfractureskidney stonesOBJECTIVE: To describe the characteristics of normocalcemic primary hyperparathyroidism (NPHPT) in patients seen for osteoporosis evaluation. PATIENTS AND METHODS: We examined the records of 156 women who came to the hospital to be screened for osteoporosis. Measurements of total calcium, PTH, 25-hydroxy vitamin D, and β-C-telopeptide were recorded. Bone mineral density and T-scores were evaluated by densitometry of the lumbar spine, femoral neck and distal one-third of the radius. The latter was only measured in patients with primary hyperparathyroidism. Nephrolithiasis and bone fractures were documented by a review of the medical records. RESULTS: We identified 14 patients with NPHPT, accounting for 8.9% of the population studied. In the medical records, the occurrence of kidney stones was reported in 28.6% of the patients with NPHPT, in contrast with only 0.7% of the noncarriers. Regarding the presence of general fractures, 21.4% of the patients with NPHPT were affected versus 16.2% of noncarriers. CONCLUSION: Data from our study suggest that NPHPT has a diverse phenotypic presentation, implying that this may not be an "indolent" disease.Sociedade Brasileira de Endocrinologia e Metabologia2011-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302011000500003Arquivos Brasileiros de Endocrinologia & Metabologia v.55 n.5 2011reponame:Arquivos Brasileiros de Endocrinologia & Metabologia (Online)instname:Sociedade Brasileira de Endocrinologia e Metabologia (SBEM)instacron:SBEM10.1590/S0004-27302011000500003info:eu-repo/semantics/openAccessMarques,Thyciara FonteneleVasconcelos,RenataDiniz,ErikRêgo,DanielaGriz,LuizBandeira,Franciscoeng2011-08-24T00:00:00Zoai:scielo:S0004-27302011000500003Revistahttps://www.aem-sbem.com/ONGhttps://old.scielo.br/oai/scielo-oai.php||abem-editoria@endocrino.org.br1677-94870004-2730opendoar:2011-08-24T00:00Arquivos Brasileiros de Endocrinologia & Metabologia (Online) - Sociedade Brasileira de Endocrinologia e Metabologia (SBEM)false |
dc.title.none.fl_str_mv |
Normocalcemic primary hyperparathyroidism in clinical practice: an indolent condition or a silent threat? |
title |
Normocalcemic primary hyperparathyroidism in clinical practice: an indolent condition or a silent threat? |
spellingShingle |
Normocalcemic primary hyperparathyroidism in clinical practice: an indolent condition or a silent threat? Marques,Thyciara Fontenele Normocalcemic hyperparathyroidism osteoporosis fractures kidney stones |
title_short |
Normocalcemic primary hyperparathyroidism in clinical practice: an indolent condition or a silent threat? |
title_full |
Normocalcemic primary hyperparathyroidism in clinical practice: an indolent condition or a silent threat? |
title_fullStr |
Normocalcemic primary hyperparathyroidism in clinical practice: an indolent condition or a silent threat? |
title_full_unstemmed |
Normocalcemic primary hyperparathyroidism in clinical practice: an indolent condition or a silent threat? |
title_sort |
Normocalcemic primary hyperparathyroidism in clinical practice: an indolent condition or a silent threat? |
author |
Marques,Thyciara Fontenele |
author_facet |
Marques,Thyciara Fontenele Vasconcelos,Renata Diniz,Erik Rêgo,Daniela Griz,Luiz Bandeira,Francisco |
author_role |
author |
author2 |
Vasconcelos,Renata Diniz,Erik Rêgo,Daniela Griz,Luiz Bandeira,Francisco |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Marques,Thyciara Fontenele Vasconcelos,Renata Diniz,Erik Rêgo,Daniela Griz,Luiz Bandeira,Francisco |
dc.subject.por.fl_str_mv |
Normocalcemic hyperparathyroidism osteoporosis fractures kidney stones |
topic |
Normocalcemic hyperparathyroidism osteoporosis fractures kidney stones |
description |
OBJECTIVE: To describe the characteristics of normocalcemic primary hyperparathyroidism (NPHPT) in patients seen for osteoporosis evaluation. PATIENTS AND METHODS: We examined the records of 156 women who came to the hospital to be screened for osteoporosis. Measurements of total calcium, PTH, 25-hydroxy vitamin D, and β-C-telopeptide were recorded. Bone mineral density and T-scores were evaluated by densitometry of the lumbar spine, femoral neck and distal one-third of the radius. The latter was only measured in patients with primary hyperparathyroidism. Nephrolithiasis and bone fractures were documented by a review of the medical records. RESULTS: We identified 14 patients with NPHPT, accounting for 8.9% of the population studied. In the medical records, the occurrence of kidney stones was reported in 28.6% of the patients with NPHPT, in contrast with only 0.7% of the noncarriers. Regarding the presence of general fractures, 21.4% of the patients with NPHPT were affected versus 16.2% of noncarriers. CONCLUSION: Data from our study suggest that NPHPT has a diverse phenotypic presentation, implying that this may not be an "indolent" disease. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302011000500003 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27302011000500003 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0004-27302011000500003 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Endocrinologia e Metabologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Endocrinologia e Metabologia |
dc.source.none.fl_str_mv |
Arquivos Brasileiros de Endocrinologia & Metabologia v.55 n.5 2011 reponame:Arquivos Brasileiros de Endocrinologia & Metabologia (Online) instname:Sociedade Brasileira de Endocrinologia e Metabologia (SBEM) instacron:SBEM |
instname_str |
Sociedade Brasileira de Endocrinologia e Metabologia (SBEM) |
instacron_str |
SBEM |
institution |
SBEM |
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Arquivos Brasileiros de Endocrinologia & Metabologia (Online) |
collection |
Arquivos Brasileiros de Endocrinologia & Metabologia (Online) |
repository.name.fl_str_mv |
Arquivos Brasileiros de Endocrinologia & Metabologia (Online) - Sociedade Brasileira de Endocrinologia e Metabologia (SBEM) |
repository.mail.fl_str_mv |
||abem-editoria@endocrino.org.br |
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1754734811407187968 |