Linked Life Data

7831256

Source:http://linkedlifedata.com/resource/pubmed/id/7831256

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
37
pubmed:dateCreated
1995-2-22
pubmed:abstractText
Over the last 20 years, widespread assay of serum calcium in patients with diverse and often minor symptomatology and its introduction into routine check-up lists in perfectly healthy subjects has led to the identification of asymptomatic hyperparathyroidism defined as apparently isolated hypercalcalcaemia. In most subjects, the diagnosis is easily confirmed by assaying intact parathormone 1-84. The real problem is management of this condition, particularly in elderly subjects. Due to the lack of any truely effective medical treatment, the only alternative is between abstention and surgical exeresis. A critical analysis of the literature on the risks involved in untreated asymptomatic hyperparathyroidism compared with surgery indicates that the decision can be simple in certain specific cases. Surgery is indicated in young subjects and abstention in case of patient refusal or contraindications for surgery. In all other cases, age, the possibility of prolonged follow-up and patient demands must be carefully weighed before decision making. Prospective studies comparing abstention and surgery are needed to determine prognostic criteria.
pubmed:commentsCorrections
pubmed:language
fre
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0755-4982
pubmed:author
pubmed:issnType
Print
pubmed:day
26
pubmed:volume
23
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1717-22
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1994
pubmed:articleTitle
[Management of asymptomatic hyperparathyroidism].
pubmed:affiliation
Service de Médecine V, Hôpital Louis Mourier, Colombes.
pubmed:publicationType
Journal Article, English Abstract, Review