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Cited by 325

The DOI matches its Crossref record; 70 of the 70 references it cites were found in a registry or an index.

Primary Hyperparathyroidism

Open access
Bilezikian, John P·2018·The Journal of Clinical Endocrinology & Metabolism

Abstract

Background: Primary hyperparathyroidism (PHPT), the most common cause of hypercalcemia, is most often identified in postmenopausal women. The clinical presentation of PHPT has evolved over the past 40 years to include three distinct clinical phenotypes, each of which has been studied in detail and has led to evolving concepts about target organ involvement, natural history, and management. Methods: In the present review, I provide an evidence-based summary of this disorder as it has been studied worldwide, citing key concepts and data that have helped to shape our concepts about this disease. Results: PHPT is now recognized to include three clinical phenotypes: overt target organ involvement, mild asymptomatic hypercalcemia, and high PTH levels with persistently normal albumin-corrected and ionized serum calcium values. The factors that determine which of these clinical presentations is more likely to predominate in a given country include the extent to which biochemical screening is used, vitamin D deficiency is present, and whether parathyroid hormone levels are routinely measured in the evaluation of low bone density or frank osteoporosis. Guidelines for parathyroidectomy apply to all three clinical forms of the disease. If surgical guidelines are not met, parathyroidectomy can also be an appropriate option if no medical contraindications are present. If either the serum calcium or bone mineral density is of concern and surgery is not an option, pharmacological approaches are available and effective. Conclusions: Advances in our knowledge of PHPT have guided new concepts in diagnosis and management.

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Metadata

Authors
Bilezikian, J. P.
Venue
The Journal of Clinical Endocrinology & Metabolism
Published
2018-07-27
Volume
103
Issue
11
Pages
3993-4004
ISSN
  • 0021-972X (ISSN-L)
  • 1945-7197
OpenAlex
W4211017093
Cited by
325
References
70
FWCI
19.92
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Primary Hyperparathyroidism. https://app.cochat.ai/papers/10.1210/jc.2018-01225
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Bilezikian, J. P. (2018). Primary Hyperparathyroidism. The Journal of Clinical Endocrinology & Metabolism. https://doi.org/10.1210/jc.2018-01225

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.