Crowley Rachel K, Gittoes Neil J
Department of Endocrinology, St Vincent's University Hospital and University College Dublin, Dublin, Ireland.
Centre for Endocrinology Diabetes and Metabolism, Queen Elizabeth Hospital and University of Birmingham, Birmingham Health Partners, Birmingham, UK.
Clin Endocrinol (Oxf). 2016 Jun;84(6):809-13. doi: 10.1111/cen.13056. Epub 2016 Mar 21.
Normocalcaemic hyperparathyroidism is a common biochemical finding, usually identified during an assessment of bone or renal health. Hypercalcaemia must be considered by calculation of adjusted calcium, and a careful history taken to assess dietary calcium intake and for the possibility of a malabsorption syndrome. 25-hydroxyvitamin D (25OHD) should be measured and replaced if indicated. The management plan for the patient is influenced by the context in which calcium and PTH were measured. In this brief review we describe the assessment of a patient with normocalcaemic hyperparathyroidism.
血钙正常的甲状旁腺功能亢进是一种常见的生化检查结果，通常在评估骨骼或肾脏健康时被发现。必须通过计算校正钙来考虑高钙血症，并仔细询问病史以评估饮食中钙的摄入量以及是否存在吸收不良综合征的可能性。如果有指征，应检测并补充25-羟维生素D（25OHD）。患者的管理计划受测量钙和甲状旁腺激素（PTH）时的具体情况影响。在这篇简短的综述中，我们描述了对血钙正常的甲状旁腺功能亢进患者的评估。
