159998 - How to Treat quiz: Primary hyperparathyroidism

Relevance to General Practice

Primary hyperparathyroidism (PHPT) is the third most common endocrine disorder, however but is largely under-recognised and under-treated. It can present at any age from early childhood through to old age but is most prevalent in postmenopausal women where it can be found in up to 3%. Untreated, PTHPT is associated with a significant increase in mortality, predominantly from cardiovascular disease. The only available treatment is surgery. Parathyroidectomy leads to symptom reversal in the majority of patients, including restoration of bone mineral content in those with established osteoporosis.

Learning outcomes

• On completion of this activity, the participant will be able to list the presenting features of primary hyperparathyroidism.
• On completion of this activity, the participant will be able to explain the diagnosis of primary hyperparathyroidism and preparation for surgery.
• On completion of this activity, the participant will be able to discuss the long-term complications of untreated hyperparathyroidism.
• On completion of this activity, the participant will be able to describe the management options for primary hyperparathyroidism.