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| Medical management of rHPT > 6 months with Hypercalcemia or hyperphosphatemia |
| PTH > 800 pg/mL |
| Calciphylaxis with documented elevated PTH levels |
| Osteoporosis (T-score > 2.5 SD below mean), pathologic bone fracture |
| Symptoms/signs |
| Pruritus |
| Bone pain |
| Severe vascular calcifications |
| Myopathy |
PTH = parathyroid hormone; rHPT = renal hyperparathyroidism, SD = standard deviation.
