Calcium Intoxication Due to Primary Hyperparathyroidism
Authors: JACOB LEMANN
Journal: Annals of Internal Medicine (1964)

Article1 March 1964Calcium Intoxication Due to Primary HyperparathyroidismA Medical and Surgical EmergencyJACOB LEMANN JR., M.D., ANTHONY A. DONATELLI, M.D.JACOB LEMANN JR., M.D.Search for more papers by this author, ANTHONY A. DONATELLI, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-60-3-447 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPatients with primary hyperparathyroidism are usually seen because ofchronicsymptoms referable to the urinary tract, skeleton, or gastrointestinal tract. However, it has become evident that a few patients may first be seen with acute and rapidly progressive symptoms attributable only to a markedly elevated serum calcium. These symptoms include muscular weakness, anorexia, nausea, vomiting, constipation, thirst, polyuria, and nonspecific abdominal pain as well as disturbances in behavior and state of consciousness. This clinical state has been termed hyperhyperparathyroidism (1), parathyrotoxicosis (2), or acute hyperparathyroidism (3), and although the course of this syndrome is extremely variable, it may rapidly be...References1. RASMUSSENREIFENSTEIN HEC: The parathyroid glands, in Textbook of Endocrinology, 3rd ed., edited by WILLIAMS, R. H., W. B. Saunders Co., Philadelphia, 1962, p. 855. Google Scholar2. WAIFE SO: Parathyrotoxicosis: the syndrome of acute hyperparathyroidism. Amer. J. Med. Sci. 218: 624, 1949. CrossrefMedlineGoogle Scholar3. OLIVER WA: Acute hyperparathyroidism. Lancet 2: 240, 1939. CrossrefGoogle Scholar4. HANNONSHORRMCCLELLANDUBOIS RREWSEF: A case of osteitis fibrosa cystica (osteomalacia?) with evidence of hyperactivity of the parathyroid bodies: metabolic study. I. J. Clin. 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PATTEN, M.D., JOHN P. BILEZIKIAN, M.D., L. E. MALLETTE, M.D., Ph.D., ALAN PRINCE, M.D., W. KING ENGEL, M.D., G. D. AURBACH, M.D.Hyperparathyroidism: Recent StudiesG. D. AURBACH, M.D., LAWRENCE E. MALLETTE, M.D., Ph.D., BERNARD M. PATTEN, M.D., DAVID A. HEATH, M.B., M.R.C.P., JOHN L. DOPPMAN, M.D., JOHN P. BILEZIKIAN, M.D.ReferencesThe Routine Hypertensive Work-upBlood Pressure Effects of Acute Hypercalcemia Studies in Patients with Chronic Renal FailurePETER WEIDMANN, M.D., SHAUL G. MASSRY, M.D., JACK W. COBURN, M.D., F.A.C.P., MORTON H. MAXWELL, M.D., F.A.C.P., JOYCE ATLESON, R.N., CHARLES R. KLEEMAN, M.D., F.A.C.P.CALCITONIN IN THE TREATMENT OF HYPERCALCAEMIC CRISISPalpable Calcified Parathyroid Gland in Primary Chief-Cell HyperplasiaEndocrine Emergencies: Diagnosis and Intensive CareThe Management of Hypertension Associated with Disorders of Function of the Endocrine Glands (“Endocrine Hypertension“)Acute Treatment of Hypercalcemia with FurosemideHypercalcemia Associated with Neoplastic DiseaseFRANCO M. MUGGIA, M.D., HENRY O. HEINEMANN, M.D., F.A.C.P.Parathyroid IntoxicationSOFT TISSUE CALCIFICATION IN HYPERPARATHYROIDISMThiazide-induced parathyroid stimulationAcute Hypercalcemia Simulating Basilar-Artery InsufficiencyA case of acute hyperparathyroidism, with thyrotoxicosis and pancreatitis, presenting as hyperemesis gravidarum.Hyperparathyroidism and its clinical effectsHypercalcemia During the Diuretic Phase of Acute Renal FailureARTHUR J. SEGAL, A.B., MYRON MILLER, M.D., ARNOLD M. MOSES, M.D., F.A.C.P.23. Chirurgie der EpithelkörperchenLess Common Manifestations of HyperparathyroidismSodium Sulfate Treatment of HypercalcemiaAcute Hyperparathyroidism: A Surgical EmergencyHypercalcemia and HypertensionJERRY M. EARLL, NEIL A. KURTZMAN, ROBERT H. MOSERPARATHYROID CRISIS — A MEDICAL AND SURGICAL EMERGENCYInorganic Phosphate Treatment of Hypercalcemia of Diverse EtiologiesMEDIASTINAL PARATHYROID ADENOMA 1 March 1964Volume 60, Issue 3 Page: 447-461 Keywords Calcium Constipation Gastrointestinal tract Hypercalcemia Hyperparathyroidism Intoxication Muscular weakness Nausea Skeleton Vomiting ePublished: 1 December 2008 Issue Published: 1 March 1964 PDF downloadLoading ...