CALCIUM INFUSION IN THE DIAGNOSIS OF PRIMARY HYPERPARATHYROIDISM

The Lancet ◽  
1972 ◽  
Vol 299 (7750) ◽  
pp. 578-579
2019 ◽  
Author(s):  
Emir Muzurovic ◽  
Sandra Pekic ◽  
Marina Djurovic ◽  
Dragana Miljic ◽  
Marko Stojanovic ◽  
...  

2019 ◽  
Author(s):  
Zvezdana Jemuovic ◽  
Marina Djurovic ◽  
Sandra Pekic ◽  
Dragana Miljic ◽  
Marko Stojanovic ◽  
...  

1985 ◽  
Vol 108 (3) ◽  
pp. 372-376 ◽  
Author(s):  
O. Tørring ◽  
E. Bucht ◽  
H. E. Sjöberg

Abstract. In order preoperatively to evaluate the calcium induced plasma calcitonin (CT) response in patients with mild primary hyperparathyroidism (PHPT), 7 postmenopausal (PM) females with PHPT and 14 PM healthy subjects underwent a 2 h calcium infusion. The infusions were performed by means of the 'calcium clamp' technique previously described by us in order to obtain an identical calcium stimulus in all subjects. Immunoreactive calcitonin (iCT) was determined by means of a sensitive RIA utilizing rabbit antibodies directed against the carboxy-terminal amino acid sequence of the CT molecule. All patients with PHPT had normal basal plasma iCT levels: 10 ± 5 pg-eq/ml (mean ± sd) as a group and not different from the control group: 13 ± 5 pg-eq/ml. In the control group significantly increased plasma iCT was seen at 30, 60, 90 and 120 min in contrast to that of the PHPT group where a blunted response was observed. The results indicate a diminished CT reserve in these patients which may imply an impaired defence against the PTH mediated bone resorption seen in patients with PHPT.


1986 ◽  
Vol 250 (5) ◽  
pp. F924-F929 ◽  
Author(s):  
K. Iseki ◽  
S. G. Massry ◽  
V. M. Campese

Hypertension is common in primary hyperparathyroidism, but the mechanisms are not clear. Significant hypercalcemia induces elevation in blood pressure (BP), whereas excessive parathyroid hormone (PTH) lowers BP. However, in chronic renal failure (CRF) and secondary hyperparathyroidism, the hypercalcemia-induced hypertension is more severe. We examined the interaction between PTH and calcium on BP in normal rats and in those with CRF. Calcium caused a dose-related rise in serum calcium and a rise in mean arterial pressure (MAP). For a comparable rise in serum calcium, the increment in MAP in parathyroidectomized (PTX) rats (7 +/- 3 mmHg) was significantly lower (P less than 0.05) than in sham PTX rats (19 +/- 7.3 mmHg). In PTX rats receiving PTH, the MAP response to calcium infusion (17 +/- 2.4 mmHg) was similar to that in the sham PTX rats. The infusion of similar amounts of calcium in CRF rats caused a greater rise in serum calcium. In CRF-PTX rats, the changes in MAP during calcium infusion were significantly lower (P less than 0.05) than in CRF-sham PTX animals, despite similar rise in serum calcium. For a comparable rise in serum calcium, the rise in MAP in CRF rats was greater than in normal rats. These data suggest that the presence of PTH plays an important permissive role for the hypertensive action of the hypercalcemia.


1962 ◽  
Vol 40 (3_Suppl) ◽  
pp. S173
Author(s):  
Heinrich G. Haas ◽  
John J. Canary ◽  
Laurence H. Kyle ◽  
Daniel H. Mintz

1968 ◽  
Vol 58 (4) ◽  
pp. 578-580 ◽  
Author(s):  
L. Skovsted ◽  
M. Kristensen ◽  
K. Siersbæk-Nielsen ◽  
J. Mølholm Hansen

ABSTRACT Urinary hydroxyproline was measured before, during, and after intravenous calcium-infusion in 5 normal subjects and in 4 patients with parathyroid adenomata. The results show that primary hyperparathyroidism cannot be diagnosed by means of a calcium-infusion-hydroxyproline test.


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