Published in:
01-06-2017 | Reply, Letter to the Editor
Pattern of Calcium and Parathyroid Hormone Normalization at 12-Months Follow-Up After Parathyroid Operation: Reply
Authors:
Olga Lavryk, Allan Siperstein
Published in:
World Journal of Surgery
|
Issue 6/2017
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Excerpt
We appreciate the supportive comments from Dr. Rosario. It is reassuring that our medical colleagues, also, are increasingly aware of the expanded criteria for diagnosing patients with primary hyperparathyroidism. The classic definition of having an absolute elevation in both calcium and parathyroid hormone levels will overlook many patients who may benefit from ongoing monitoring or surgical intervention. The intention of our paper is to provide some quantitative guidance in determining when the PTH level is inappropriately elevated in relation to the serum calcium, in our opinion, a more appropriate definition of primary hyperthyroidism. …