A practical approach to normocalcemic primary hyperparathyroidism
Autor: | Miguel Sampedro-Núñez, Monica Marazuela Azpiroz, Isabel Huguet-Moreno, José Luis Muñoz de Nova |
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Rok vydání: | 2021 |
Předmět: |
Parathyroidectomy
Hyperparathyroidism medicine.medical_specialty Surgical approach Medical treatment business.industry Endocrinology Diabetes and Metabolism medicine.medical_treatment Hyperparathyroidism Primary medicine.disease Management algorithm Endocrinology Parathyroid Hormone Humans Medicine Calcium Differential diagnosis business Surgical treatment Intensive care medicine Primary hyperparathyroidism |
Zdroj: | Endocrine. 74:235-244 |
ISSN: | 1559-0100 1355-008X |
Popis: | Normocalcemic primary hyperparathyroidism is an entity on which several issues about its clinical management remains unclear. This is reflected in the main current guidelines, where there are no evidence-based specific recommendations. Through an exhaustive review of current literature, a clinical management algorithm for these patients is proposed. We consider the diagnosis criteria, the differential diagnosis, the clinical manifestations, and the treatment indications. When indicated, we also review the preoperative locations techniques and the surgical approach. Finally, when surgical treatment is not indicated, the patient is not a candidate to surgery or refuse surgical management, we review the medical treatment options and the follow-up schemes. |
Databáze: | OpenAIRE |
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