Differentiation Between Thyroid and Parathyroid Causes of Hypercalcemia

Article1 April 1961DIFFERENTIATION BETWEEN THYROID AND PARATHYROID CAUSES OF HYPERCALCEMIAWALTER BORTZ, M.D., EUGENE EISENBERG, M.D., C. Y. BOWERS, M.D., MANARD PONT, M.D.WALTER BORTZ, M.D.Search for more papers by this author, EUGENE EISENBERG, M.D.Search for more papers by this author, C. Y. BOWERS, M.D.Search for more papers by this author, MANARD PONT, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-54-4-610 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptHypercalcemia in thyrotoxicosis was first reported largely as a medical curiosity.1Since then additional cases have been reported. The finding that serum calcium returns to normal after treatment of thyrotoxicosis suggests a causal relationship. The true incidence of hypercalcemia with thyrotoxicosis is not known, but this combination occurs with sufficient frequency to warrant consideration of hyperthyroidism in the differential diagnosis of hypercalcemia. Because the per cent of renal tubular reabsorption of phosphate is affected by parathyroid function, its determination is useful in the evaluation of hypercalcemia.2It is almost always low in hyperparathyroidism. In other causes of hypercalcemia—malignancy, vitamin D...Bibliography1. Wijnbladh H: Über die thyreotoxischen krisen und ihre behandlung, mit besonderer berücksichtigung der jodbehandlung. Acta Chir. Scandinav. 79: 507, 1936-37. Google Scholar2. ChambersGordanGoldmanReifenstein ELGSLEC: Tests for hyperparathyroidism: tubular reabsorption of phosphate, phosphate deprivation, and calcium infusion. J. Clin. Endocr. 16: 1507, 1956. CrossrefMedlineGoogle Scholar3. TausskySchorrKurzmann HHEG: A microcolorimetric method for the determination of inorganic phosphorus. J. 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Author, Article, and Disclosure InformationAffiliations: *Received for publication June 13, 1960.From the Department of Medicine, University of California School of Medicine, San Francisco; Charity Hospital, New Orleans, Louisiana; and Fort Miley Veterans Administration Hospital, San Francisco, California.Requests for reprints should be addressed to Eugene Eisenberg, M.D., Department of Medicine, University of California School of Medicine, San Francisco 22, California. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPrimary hyperparathyroidismThe effect of anti-thyroid drugs on thyrocalcitonin secretionConcomitant graves' disease and primary hyperparathyroidism. 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BAXTER, M.D., PHILIP K. BONDY, M.D., F.A.C.P.Differential Diagnosis of HypercalcemiaNutrition-Endocrine RelationshipsOsteomalacia in thyrotoxicosisThe ParathyroidsKidney Stones: A Medical Approach to Diagnosis (With Some Brief Comments on Some Treatments)Coexisting Hyperthyroidism and HyperparathyroidismIdiopathic Hypoparathyroidism Associated with HyperthyroidismJAMES R. DAHL, M.D., SAMUEL D. MCFADDEN, M.D., EUGENE EISENBERG, M.D.Suppression of the Hypercalcemia of Thyrotoxicosis by CorticosteroidsThe dental structures in primary hyperparathyroidsmThyrotoxicosis as a Disease of MitochondriaDas Krankheitsbild der „idiopathischen“ Hypercalcämie, eine chronische Vitamin D-IntoxikationHYPERCALCEMIA—DOUBLED CAUSES AND A DILEMMAE. J. H. 1 April 1961Volume 54, Issue 4Page: 610-619KeywordsCalciumHospital medicineHypercalcemiaHyperthyroidismIngestionLaboratory testsParathyroidPhosphatesThyroidVitamin D ePublished: 1 December 2008 Issue Published: 1 April 1961 PDF downloadLoading ...