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Review
. 2002 Apr;4(2):179-85.
doi: 10.1007/s11926-002-0014-0.

Rheumatic manifestations of primary hyperparathyroidism and parathyroid hormone therapy

Mishaela R Rubin  1 , Shonni J Silverberg
Affiliations
Review

Rheumatic manifestations of primary hyperparathyroidism and parathyroid hormone therapy

Mishaela R Rubin et al. Curr Rheumatol Rep. 2002 Apr.

Abstract

A frequent manifestation of severe primary hyperparathyroidism was the bone disease osteitis fibrosa cystica. Rarely, excess parathyroid hormone (PTH) was associated with gout and calcium pyrophosphate crystal deposition disease. Surgical cure of primary hyperparathyroidism was occasionally associated with pseudogout. Today, primary hyperparathyroidism is generally asymptomatic. Clinically overt rheumatologic and skeletal effects are mainly of historical interest. Skeletal disease is still detectable by more sensitive techniques. In certain circumstances, PTH may be protective and anabolic for the skeleton.

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