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What problems result from hyperparathyroidism?

Dr. Jack Merendino, MD
Endocrinology Diabetes & Metabolism
Hyperparathyroidism is often asymptomatic, but as the calcium rises many problems may develop. As the parathyroid hormone (PTH) stimulates the release of calcium from bone, osteoporosis may develop. This tends to be an unusual form of osteoporosis, affecting the shafts of the long bones more than age-related bone loss does. Usually when we do a bone density study on someone with hyperparathyroidism, we include images of the forearm which reveals osteoporosis of this type.

Often in hyperparathyroidism there is a significant increase in urine calcium excretion. This places some at risk of kidney stones, and anyone who has had kidney stones should have their PTH level checked. 

Hyperparathyroidism may lead to more subjective problems as well. Muscle aches and pains may develop. Neuro-psychiatric symptoms are common. These may include difficulty with focus and concentration. An increase in depression and/or anxiety may also occur. 
 

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