Mazokopakis EE, Skarakis SNI. Investigating patients with normocalcemic hyperparathyroidism: When is a parathyroid scintigraphy indicated?
World J Nucl Med 2019;
18:227-231. [PMID:
31516364 PMCID:
PMC6714157 DOI:
10.4103/wjnm.wjnm_61_18]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2018] [Accepted: 07/13/2018] [Indexed: 11/26/2022] Open
Abstract
In clinical practice, physicians often encounter patients with persistent elevated serum parathyroid hormone levels and normal serum calcium levels, a state known as normocalcemic hyperparathyroidism (NHPT). The investigation of NHPT cases can lead to unnecessary use of parathyroid scintigraphy (PS) and consequently unnecessary health-care costs. In this clinical review, the most common causes of NHPT and the possible indications for PS performance in such cases are mainly presented and discussed.
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