Hyperparathyroidism: Difference between revisions

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'''Hyperparathyroidism''' refers to the increased activity of the parathyroid glands, causing elevated levels of [[PTH]]. We distinguish primary, secondary, and tertiary hyperparathyroidism.
'''Hyperparathyroidism''' refers to the increased activity of the parathyroid glands, causing elevated levels of [[PTH]]. We distinguish primary, secondary, and tertiary hyperparathyroidism.


Primary hyperparathyroidism is caused by local parathyroid pathology, which is the most important cause. Secondary hyperparathyroidism occurs as a response to [[hypocalcaemia]], causing the parathyroid glands to overproduce PTH. Tertiary hyperparathyroidism occurs due to long-standing secondary hyperparathyroidism, in which the parathyroid glands have been overstimulated for so long that they continue to overproduce PTH even if the original stimulus is removed.
Primary hyperparathyroidism is caused by local parathyroid pathology, which is the most important cause of hyperparathyroidism overall. Secondary hyperparathyroidism occurs as a response to [[hypocalcaemia]], causing the parathyroid glands to overproduce PTH. Tertiary hyperparathyroidism occurs due to long-standing secondary hyperparathyroidism, in which the parathyroid glands have been overstimulated for so long that they continue to overproduce PTH even if the original stimulus is removed.


== Etiology ==
== Etiology ==
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Management for secondary hyperparathyroidism involves treating the underlying cause. Dietary restriction of phosphate and [[Vitamin D supplement|vitamin D supplements]] are also important. [[Phosphate binder|Phosphate binders]] may be used in case hyperphosphataemia remains despite dietary restriction. Cinacalcet may also be used.
Management for secondary hyperparathyroidism involves treating the underlying cause. Dietary restriction of phosphate and [[Vitamin D supplement|vitamin D supplements]] are also important. [[Phosphate binder|Phosphate binders]] may be used in case hyperphosphataemia remains despite dietary restriction. Cinacalcet may also be used.
<noinclude>‎[[Category:Endocrinology]]
<noinclude>‎[[Category:Endocrinology]]
[[Category:Endocrine surgery]]</noinclude>
[[Category:Endocrine surgery]]
</noinclude>