Normocalcemic hyperparathyroidism: Intervention to differentiate primary from secondary hyperparathyroidism

Normocalcemic hyperparathyroidism can occur, but surgery should not be considered until common etiologies for secondary hyperparathyroidism are comprehensively excluded. Calcium deficiency is an underrecognized cause of normocalcemic parathyroid hormone elevation, and we aim to determine if the implementation of a preoperative calcium challenge can be used to reduce unnecessary parathyroidectomy.
Source: Surgery - Category: Surgery Authors: Source Type: research