Urine test—a 24-hour urine collection to measure calcium excretion and kidney function
—a test that uses radiation to take a picture of the structures inside the body; can show
caused by high calcium levels
<![CDATA]>Bone density test<![CDATA]>
—a test to measure bone loss and risk of fractures
—a test that uses sound waves to detect a large parathyroid tumor (adenoma)
<![CDATA]>Magnetic resonance imaging (MRI)<![CDATA]>
or technetium 99m sestamibi scan—a test that uses magnetic waves to make pictures of structures inside the body; to locate a single parathyroid adenoma
Talk with your doctor about the best plan for you. Treatment options include the following:
(the most active vitamin D metabolite)—helps to reduce PTH production in secondary hyperparathyroidism in chronic kidney failure
—helps to lower PTH blood levels for secondary and tertiary hyperparathyroidism in chronic kidney disease
(a vitamin D analog)—for the prevention and treatment of secondary hyperparathyroidism associated with chronic kidney failure
(a vitamin D analog)—for treating secondary hyperparathyroidism due to deficiency of vitamin D
Estrogen (hormone replacement therapy) for postmenopausal women
A partial or complete parathyroidectomy may be done. This is the partial or total removal of the parathyroid. It may be used:
To remove a tumor—common in primary hyperparathyroidism and results in a 95% cure rate (calcium levels return to normal and decrease risk of bone and kidney problems)
To remove parathyroid tissue—common for tertiary or secondary hyperparathyroidism due to chronic renal failure; done when medical treatment has failed
Monitoring of Blood Calcium Levels
Your doctor may simply choose to regularly check your blood calcium levels. The doctor will also monitor you for possible complications. This may include regular bone density tests.
There are no guidelines for preventing this condition.
Bilezikian JP, Potts JT Jr, Fuleihan Gel-H, et al. Summary statement from a work shop on asymptomatic primary hyperparathyroidism: a perspective for the 21st century.
J Clin Endo Metab
Cannella G, Messa P. Therapy of secondary hyperparathyroidism to date: vitamin d analogs, calcimimetics or both?
Clark OH. How should patients with primary hyperparathyroidism be treated? (Editorial).
J Clin Endocrinol Metab
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a