Discussion

DR MELANIE GOLFARB (Santa Monica, CA): I commend the authors for trying to address one of the many important topics in the sometimes-nebulous disease of primary hyperparathyroidism. I say nebulous because, although we know how to diagnose and treat it, many nuances of the disease presentation, such as the underlying molecular mechanisms of the genotype and phenotype of the disease and the specific long-term outcomes, are still unknown. Kidney stone symptomatology in patients with primary hyperparathyroidism is one of the more common, and sometimes debilitating, symptoms that accompany the disease, and should always lead to operation for primary hyperparathyroidism.
Source: Journal of the American College of Surgeons - Category: Surgery Tags: Western surgical association article Source Type: research