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Is Hyper-parathyroidism Sometimes Misdiagnosed as Fibromyalgia?

  [ 20 votes ]   [ 2 Comments ] • July 24, 2014

Is Hyper-parathyroidism Sometimes Misdiagnosed as Fibromyalgia?
Editor's Comment: A new study presented at the American Association of Endocrine Surgeons 2014 Annual Meeting suggests that a subset of patients diagnosed with fibromyalgia may actually have unrecognized hyperparathyroidism. The two illnesses have a number of symptoms in common, including musculoskeletal pain, fatigue headache, cognitive dysfunction, and mood disturbance. An earlier study presented at the American College of Rheumatology meeting in October 2013 found hyperparathyroidism in 10% of FM patients. In contrast, it is found in just one-tenth of one percent (0.1%) of the general population. The study authors are hoping their work will eventually encourage physicians treating FM patients to screen them for hyperparathyroidism.

Is Hyperparathyroidism Misdiagnosed as Fibromyalgia?

Expert Parathyroid Surgeon Babak Larian, MD, FACS Responds to New Study About Fibromyalgia Symptoms and Parathyroidectomy

Beverly Hills, CA (PRWEB) July 24, 2014 – In response to a new study that shows some fibromyalgia patients may benefit from parathyroidectomy, Dr. Babak Larian of the CENTER for Advanced Parathyroid Surgery in Beverly Hills today commented on hyperparathyroidism, a commonly misunderstood and misdiagnosed disease.

“Hyperparathyroidism is often misdiagnosed because its symptoms are vague and similar to other medical conditions,” Dr. Larian explained. “Those who have been diagnosed with fibromyalgia may actually be suffering from primary hyperparathyroidism. Recognizing that the conditions have similar symptoms is an important step.”

Fibromyalgia and Primary Hyperparathyroidism

The study, which was reported at the American Association of Endocrine Surgeons 2014 Annual Meeting on April 29, sited that nearly all patients with hyperparathyroidism who were previously diagnosed with fibromyalgia showed signs of improvement once parathyroidectomy was performed. One in five were able to stop taking fibromyalgia medications.

“An accurate diagnosis by a parathyroid expert is truly beneficial to a patient,” Dr. Larian said. “If a patient does have primary hyperparathyroidism, the proper treatment to give the patient relief from his or her symptoms can be implemented.”

Minimally Invasive Parathyroidectomy

Many patients who think they have fibromyalgia may be spending time and money on medical treatment that isn’t going to properly address their symptoms. Before someone is prematurely diagnosed with fibromyalgia, blood tests for primary hyperparathyroidism may be a simple solution. High blood calcium and parathyroid hormone levels are indications of primary hyperparathyroidism. The root cause of the disease is typically a benign tumor in one or more of the four parathyroid glands that is called a parathyroid adenoma.

“When a parathyroid adenoma is properly removed through minimally invasive parathyroidectomy, blood calcium levels should return to normal within hours. This one powerful factor may greatly improve how a patient feels, and when a minimally invasive procedure is performed, a patient will have less pain and a faster recovery time. The incision used in the surgery is only 1.5 centimeters, so there is also significantly less scarring than standard parathyroid surgery.”

About Dr. Babak Larian

Dr. Babak Larian, the Director of the CENTER for Advanced Parathyroid Surgery in Beverly Hills, is a highly experienced and reputable board-certified head and neck surgeon. Dr. Larian is nationally renowned for his expertise in minimally invasive surgery techniques involving parathyroid disorders and is considered a pioneer in his field. Currently, Dr. Larian holds the prestigious honor of Chief of Head & Neck Surgery at Cedars-Sinai Medical Center and Assistant Clinical Professor of Surgery at UCLA.

For additional information regarding Dr. Larian and the various services offered at the CENTER for Advanced Parathyroid surgery, please call 310-933-4210, or visit the on the web.

Source: Press release: “Is Hyperparathyroidism Misdiagnosed as Fibromyalgia?” July 24, 2014.

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Article Comments Post a Comment

Posted by: IanH
Jul 27, 2014
Wile this is a good discovery and a wise recommendation, the idea that the FM is a wrong diagnosis does not add up.

If the general population incidence of hyperParathyroidism is less the 0.1 percent, then why is it 10% in the FM population? Are they just being wrongly diagnosed or is the immune system disease from which they are suffering causing a higher incidence of hyperParathyroidism?

It was recently discovered that a significant proportion of people with ME have a high incidence of low GFR, does this mean these people are being wrongly diagnosed with ME but should be diagnosed with CKD?

While hyperParathyroidism must be diagnosed and treated, it does not mean that the FM is not present or is independent of the hyperParathyroidism.

We see this error time and time again in ME/CFS/FM. If a known pathology is found then the conclusion is that there has been a "wrong diagnosis" and the ME/CFS/FM is not real or present.

Those people with ME/CFS/FM have a chronic disease and that disease may render those people more likely to get other diseases. What is needed is to be on guard for those diseases occuring not just dismiss all symptoms as just a part of the ME/CFS/FM - this could be a fatal error.
Reply Reply

Posted by: robocop1
Jul 30, 2014
Is it possible to have both diagnoses? and if so can the hyperparathyroidism be treated as in your article, and lessen FM pain?
Reply Reply
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