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. 1983 Apr;59(690):236–240. doi: 10.1136/pgmj.59.690.236

[Rheumatic symptoms in primary hyperparathyroidism.]

M Helliwell
PMCID: PMC2417502  PMID: 6602977

Abstract

In a retrospective survey of 34 patients with primary hyperparathyroidism (HPT), 18 (53%0 complained of musculo-skeletal symptoms during the 12 months before the diagnosis was made and 9 (26%) attended at some time for either a rheumatological or orthopaedic consultation. Myalgia was the most frequently reported symptom which occurred in 41% of patients. Arthralgia, mainly affecting the large joints was present in 11 (32%) patients, 2 of whom had an erosive synovitis mimicking rheumatoid arthritis. Radiological abnormalities were seen in 8 patients. Clinicians should be aware of the variety and frequency of musculo-skeletal symptoms associated with HPT and should consider including serum calcium measurements when investigating rheumatic complaints.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ackerman N. B., Arribas R. F. Hyperparathyroidism with coexisting hyperthyroidism. Am J Surg. 1976 Nov;132(5):660–661. doi: 10.1016/0002-9610(76)90367-6. [DOI] [PubMed] [Google Scholar]
  2. BYWATERS E. G., DIXON A. S., SCOTT J. T. Joint lesions of hyperparathyroidism. Ann Rheum Dis. 1963 May;22:171–187. doi: 10.1136/ard.22.3.171. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Bilezikian J. P., Connor T. B., Aptekar R., Freijanes J., Aurbach G. D., Pachas W. N., Wells S. A., Decker J. L. Pseudogout after parathyroidectomy. Lancet. 1973 Mar 3;1(7801):445–446. doi: 10.1016/s0140-6736(73)91876-x. [DOI] [PubMed] [Google Scholar]
  4. Frame B., Heinze E. G., Jr, Block M. A., Manson G. A. Myopathy in primary hyperparathyroidism. Observations in three patients. Ann Intern Med. 1968 May;68(5):1022–1027. doi: 10.7326/0003-4819-68-5-1022. [DOI] [PubMed] [Google Scholar]
  5. Glass J. S., Grahame R. Chondrocalcinosis after parathyroidectomy. Ann Rheum Dis. 1976 Dec;35(6):521–525. doi: 10.1136/ard.35.6.521. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Grahame R., Sutor D. J., Mitchener M. B. Crystal deposition in hyperparathyroidism. Ann Rheum Dis. 1971 Nov;30(6):597–604. doi: 10.1136/ard.30.6.597. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Lipson R. L., Williams L. E. The "Connective tissue disorder" of hyperparathyroidism. Arthritis Rheum. 1968 Apr;11(2):198–202. doi: 10.1002/art.1780110211. [DOI] [PubMed] [Google Scholar]
  8. PRESTON F. S., ADICOFF A. Hyperparathyroidism with avulsion of three major tendons. Report of a case. N Engl J Med. 1962 May 10;266:968–971. doi: 10.1056/NEJM196205102661903. [DOI] [PubMed] [Google Scholar]
  9. Patten B. M., Bilezikian J. P., Mallette L. E., Prince A., Engel W. K., Aurbach G. D. Neuromuscular disease in primary hyperparathyroidism. Ann Intern Med. 1974 Feb;80(2):182–193. doi: 10.7326/0003-4819-80-2-182. [DOI] [PubMed] [Google Scholar]
  10. Pritchard M. H., Jessop J. D. Chondrocalcinosis in primary hyperparathyroidism. Influence of age, metabolic bone disease, and parathyroidectomy. Ann Rheum Dis. 1977 Apr;36(2):146–151. doi: 10.1136/ard.36.2.146. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Resnick D. L. Erosive arthritis of the hand and wrist in bhyperparathyroidism. Radiology. 1974 Feb;110(2):263–269. doi: 10.1148/110.2.263. [DOI] [PubMed] [Google Scholar]
  12. SCOTT J. T., DIXON A. S., BYWATERS E. G. ASSOCIATION OF HYPERURICAEMIA AND GOUT WITH HYPERPARATHYROIDISM. Br Med J. 1964 Apr 25;1(5390):1070–1073. doi: 10.1136/bmj.1.5390.1070. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Samaan N. A., Hickey R. C., Bedner T. D., Ibanez M. L. Hyperparathyroidism and carcinoid tumor. Ann Intern Med. 1975 Feb;82(2):205–207. doi: 10.7326/0003-4819-82-2-205. [DOI] [PubMed] [Google Scholar]
  14. Watson L. Primary hyperparathyroidism. Clin Endocrinol Metab. 1974 Jul;3(2):215–235. doi: 10.1016/s0300-595x(74)80007-1. [DOI] [PubMed] [Google Scholar]
  15. Weinstein J. D., Dick H. M., Grantham S. A. Pseudogout, hyperparathyroidism, and Carpal-Tunnel syndrome. A case report. J Bone Joint Surg Am. 1968 Dec;50(8):1669–1674. [PubMed] [Google Scholar]

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