Indications for Parathyroidectomy in Primary Hyperparathyroidism
• All patients with symptomatic PHPT
• Serum calcium 1 mg/dL above upper limit of normal
• Osteoporosis or fragility fracture
• Age < 50 years
• Evidence of renal involvement (nephrolithiasis or nephrocalcinosis, 24h urine calcium > 400 mg/dL with increased stone risk, impaired renal function GFR < 60mL/min)
Dominique Tomacruz, MD @DTomacruzMD
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