What is the role of imaging studies in the workup of secondary hyperparathyroidism?

Updated: Dec 24, 2020
  • Author: Lawrence T Kim, MD, FACS, FACE; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Since all parathyroid glands will be affected in secondary hyperparathyroidism, localizing studies are not necessary, although they are increasingly being performed. Ultrasonography is noninvasive and may reveal thyroid pathology that was previously not recognized and that should be dealt with at the time of neck exploration. Bone density may be determined to assess the severity of bone disease. Radiographs of sites of bone pain are reasonable but seldom necessary. Hand radiographs may show characteristic subperiosteal erosions.

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