What long-term monitoring is needed for asymptomatic primary hyperparathyroidism?

Updated: Dec 24, 2020
  • Author: Lawrence Kim, MD, FACS, FACE; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Answer

Answer

Asymptomatic patients who do not undergo surgery require long-term monitoring. Recommendations include assessing for overt signs and symptoms of hyperparathyroidism annually, annual serum calcium and creatinine testing, and bone mineral density (spine, hip, and forearm) evaluation every 1-2 years. [27]

Patients with primary hyperparathyroidism should maintain a moderate daily elemental calcium intake of 800-1000 mg and a vitamin D intake appropriate for their age and sex. Maintaining good hydration, participation in regular exercise activity, and avoidance of immobilization and certain medications (such as thiazides, diuretics, and lithium) are desirable.


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