Abstract
With provocative tests of parathyroid activity based on phosphate deprivation and the administration of chlorothiazide 8 out of 19 patients with idiopathic hypercalciuria developed hypercalcaemia. Five of the eight underwent exploration of the neck and four of them had parathyroid adenomas; the fifth patient had "normal" glands but responded satisfactorily to subtotal parathyroidectomy. One patient who failed to develop hypercalcaemia had primary chief cell hyperplasia of the parathyroids.
MeSH terms
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Adenoma / complications
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Adenoma / surgery
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Adolescent
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Adult
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Aged
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Aluminum
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Calcium / urine*
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Chlorothiazide
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Female
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Humans
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Hydroxides
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Hypercalcemia / chemically induced
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Hyperparathyroidism / diagnosis*
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Hyperparathyroidism / etiology
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Hyperplasia / diagnosis
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Kidney Calculi / complications
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Male
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Middle Aged
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Parathyroid Diseases / surgery
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Parathyroid Neoplasms / complications
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Parathyroid Neoplasms / surgery
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Phosphates
Substances
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Hydroxides
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Phosphates
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Chlorothiazide
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Aluminum
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Calcium