Hyperparathyroidism – similarity to symptoms of fibromyalgia

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Hyperparathyroidism is a common cause of hypercalcemia. The
hypercalcemia usually is discovered during a routine serum
chemistry profile. Often, there has been no previous suspicion
of this disorder. In most patients initially believed to be
asymptomatic, previously unrecognized symptoms resolve with
surgical correction of the disorder. The symptoms of
hyperparathyroidism are vague and often similar to symptoms of
depression, irritable bowel syndrome, fibromyalgia or stress
reaction. Complications of primary hyperparathyroidism include
peptic ulcers, nephrolithiasis, pancreatitis and dehydration.
Surgical management is usually indicated. When medical
management is used, routine monitoring for clinical
deterioration is recommended. Preoperative localization of
adenomas with technetium Tc 99m sestamibi scan is possible but
may be unnecessary. An experienced surgeon should perform the
parathyroidectomy.

Allerheiligen DA, Schoeber J, Houston RE, Mohl VK, Wildman KM

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