61. NEJM -- Cinacalcet For Secondary Hyperparathyroidism In Patients Receiving Hemod Original Article from The New England Journal of Medicine Cinacalcet for Secondary hyperparathyroidism in Patients Receiving Hemodialysis. http://content.nejm.org/cgi/content/short/350/15/1516

HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Please sign in for full text and personal services Previous Volume 350:1516-1525 April 8, 2004 Number 15 Next Cinacalcet for Secondary Hyperparathyroidism in Patients Receiving Hemodialysis Full Text PDF PDA Full Text PowerPoint Slide Set ... PubMed Citation ABSTRACT Background Treatment of secondary hyperparathyroidism with vitamin D and calcium in patients receiving dialysis is often complicated by hypercalcemia and hyperphosphatemia, which may contribute to cardiovascular disease and adverse clinical outcomes. Calcimimetics target the calcium-sensing receptor and lower parathyroid hormone levels without increasing calcium and phosphorus levels. We report the results of two identical randomized, double-blind, placebo-controlled trials evaluating the safety and effectiveness of the calcimimetic agent cinacalcet hydrochloride. Methods Patients who were receiving hemodialysis and who had inadequately controlled secondary hyperparathyroidism despite standard treatment were randomly assigned to receive cinacalcet (371 patients) or placebo (370 patients) for 26 weeks. Once-daily

62. Rural Nurse Organization Clinic Digital Library Giant Cell Granuloma and hyperparathyroidism List of documents hyperparathyroidism, Primary, caused by Water Clear Cell Hyperplasia Access document http://ruralnurseorganization-dl.slis.ua.edu/clinical/endocrinology/parathyroid/

Clinical Resources by Topic: Endocrinology Hyperparathyroidism Clinical Resources Emergency Pediatrics Geriatrics Radiology ... Miscellaneous Resources See also: Parathyroid Evaluation Clinical Resources Hypercalcemia Clinical Resources General Endocrinology Clinical Resources Hyperparathyroidism Patient/Family Resources Wheeless' Textbook of Orthopaedics: Table of contents Hyperparathyroidism: Access document The Merck Manual 17th Ed.-1999: Table of contents Chapter 12: Water, Electrolyte, Mineral, and Acid-Base Metabolism: Table of contents General: Access document Calcium Metabolism: Access document Hypercalcemia: Access document Chapter 10: Multiple Endocrine Neoplasia Syndromes: Table of contents General: Access document Multiple Endocrine Neoplasia, Type I (MEN-I): Access document Multiple Endocrine Neoplasia, Type IIA (MEN-IIA): Access document Medicine, Ob/Gyn, Psychiatry, and Surgery (eMedicine): Table of contents Hyperparathyroidism: Access document Otolaryngology and Facial Plastic Surgery (eMedicine): Table of contents Hyperparathyroidism: Access document Parathyroid Physiology: Access document Parathyroid Surgery: Access document Emergency Medicine Resources See also General Emergency Medicine Resources Emergency Medicine (eMedicine): Table of contents Hyperparathyroidism: Access document Hypercalcemia: Access document Pediatrics Resources See also General Pediatrics Resources Pediatrics (eMedicine): Table of contents Hyperparathyroidism: Access document Hypercalcemia: Access document Geriatrics Resources See also General Geriatrics Resources Merck Manual of Geriatrics:

63. Juvenile Hyperparathyroidism What breeds are affected by juvenile hyperparathyroidism? German shepherd What does juvenile hyperparathyroidism mean to your dog you? http://www.upei.ca/~cidd/Diseases/endocrine diseases/juvenile hyperparathyroidis

What is juvenile hyperparathyroidism? This condition is one of abnormally increased activity of the parathyroid glands, which are important in the regulation of calcium and phosphorus in the body. The excess of parathyroid hormone causes problems in the bones and kidneys. How is juvenile hyperparathyroidism inherited? The condition is believed to be inherited as an autosomal recessive trait. What breeds are affected by juvenile hyperparathyroidism German shepherd For many breeds and many disorders, the studies to determine the mode of inheritance or the frequency in the breed have not been carried out, or are inconclusive. We have listed breeds for which there is a consensus among those investigating in this field and among veterinary practitioners, that the condition is significant in this breed. What does juvenile hyperparathyroidism Affected dogs will have stunted growth, increased urination and drinking, and muscle weakness. How is juvenile hyperparathyroidism diagnosed? Your veterinarian will do laboratory blood tests to determine the cause of your dog's stunted growth, usually the most obvious sign of this disorder. For the veterinarian: CLINICAL PATHOLOGY: hypophosphatemia with increased fractional clearance of phosphorus, elevated plasma PTH, hypercalcemia. R/O hyper- or hypovitaminosis D, bone neoplasia, and osteomyelitis.

64. Hyperparathyroidism Primary hyperparathyroidism is a metabolic disorder that can result in the hyperparathyroidism increases bone remodeling and therefore magnifies the http://www.osteoporosis.org.za/excerpt5.htm

Member Society HYPERPARATHYROIDISM Definition Primary hyperparathyroidism is a metabolic disorder that can result in the loss of bone. It occurs when one or more parathyroid glands become enlarged and overactive, producing too much parathyroid hormone. Hyperparathyroidism increases bone remodeling and therefore magnifies the imbalance between bone formation and resorption seen after the menopause, leading to a greater rate of bone loss. Prevalence Women outnumber men by two to one and the frequency of the condition increases with age. Symptoms Parathyroid hormone (PTH) regulates calcium metabolism and when too much PTH is released it causes a rise in blood levels of calcium. The most common symptoms of hypercalcaemia are loss of appetite, thirst, urinary frequency, lethargy, fatigue, muscle weakness, joint pains and constipation. More severe symptoms of higher levels may include nausea and vomiting , abdominal pain, memory loss and depression. Primary hyperparathyroidism may be associated with an increased risk of vertebral crush fractures.

65. Hyperparathyroidism Medical Information hyperparathyroidism Information from Drugs.com. hyperparathyroidism is excessive production of parathyroid hormone by the parathyroid glands. http://www.drugs.com/enc/hyperparathyroidism.html

Home New Drugs Latest News Drug Interactions ... Forum Drugs.com - prescription drug and medicine information available on over 24,000 approved- medications and pharmaceuticals, including side effects and drug interactions. Log-in Register Advertisement Buy a Link Now Special Offers From our sponsors Categories Diabetes Gastro Center Weight Loss AIDS/HIV ... Sexual Health Advertisement Advanced Search Or click the first letter of a drug name: A B C D ... Z Hyperparathyroidism Injury Disease Nutrition Poison ... Parathyroid glands Hyperparathyroidism Definition Hyperparathyroidism is excessive production of parathyroid hormone by the parathyroid glands. Causes The parathyroid glands are located at the front and base of the neck around the thyroid gland. They produce parathyroid hormone , which regulates calcium, phosphorus, and magnesium levels within the blood and bone. When calcium levels are too low, the body responds by increasing production of parathyroid hormone. This increase in parathyroid hormone causes more calcium to be taken from the bone and more calcium to be reabsorbed by the intestines and kidney. When the calcium level returns to normal, parathyroid hormone production slows down. Excess parathyroid hormone can be produced for a variety of reasons. In some cases, parathyroid hormone is produced without regard to the calcium levels. This is called "primary hyperparathyroidism" and is caused by enlargement of one or more of the parathyroid glands. It is a common disorder affecting about 1 in 1,000 people. The high levels of calcium and parathyroid hormone affect several body systems, including the skeletal, gastrointestinal

66. Secondary Hyperparathyroidism Medical Information Secondary hyperparathyroidism Information from Drugs.com. http://www.drugs.com/enc/secondary_hyperparathyroidism.html

Home New Drugs Latest News Drug Interactions ... Forum Drugs.com - prescription drug and medicine information available on over 24,000 approved- medications and pharmaceuticals, including side effects and drug interactions. Log-in Register Advertisement Buy a Link Now Special Offers From our sponsors Categories Diabetes Gastro Center Weight Loss AIDS/HIV ... Sexual Health Advertisement Advanced Search Or click the first letter of a drug name: A B C D ... Z Secondary hyperparathyroidism Injury Disease Nutrition Poison ... Endocrine glands Secondary hyperparathyroidism Definition The parathyroids are four glands in the neck that produce parathyroid hormone to help control calcium metabolism. Excessive production of this hormone caused by increased activity of these glands is known as hyperparathyroidism. When this occurs in response to low blood calcium caused by another condition, the condition is called secondary hyperparathyroidism. Causes Parathyroid hormone helps maintain blood calcium by regulating bone turnover, absorption of calcium from the gut, and excretion of calcium in the urine. Many disorders may lead to secondary hyperparathyroidism by causing hypocalcemia (low levels of calcium in the blood), disordered phosphate balance, or both. These include the following:

67. Hyperparathyroidism In secondary hyperparathyroidism, a problem such as kidney failure makes the body What is hyperparathyroidism? If the glands secrete too much hormone, http://www.thyroid.ca/Articles/EngE4L.html

Home I Search I Contact Us I To Join I ... Version française Hyperparathyroidism Numerous requests have been received for information about hyperparathyrodism. It is hoped that this article may be helpful.. Editor Primary hyperparathyrodism is a disorder of the parathyroid glands. Most people with this disorder have one or more enlarged, overactive parathyroid glands that secrete too much parathyroid hormone. In secondary hyperparathyroidism, a problem such as kidney failure makes the body resistant to the action of parathyroid hormone. This article focuses on primary hyperparathyrodism. What are the parathyroid glands? The parathyroid glands are four pea-sized glands located on the thyroid gland in the neck. Occasionally, a person is born with one or more of the parathyroid glands embedded in the thyroid, the thymus, or elsewhere in the chest. In most such cases, however, the glands function normally. Though their names are similar, the thyroid and parathyroid glands are entirely separate glands, each producing distinct hormones with specific functions. The parathyroid glands secrete parathyroid hormone (PTH), a substance that helps maintain the correct balance of calcium and phosphorus in the body.

68. The Methodist Hospital - Data Not Available hyperparathyroidism Wheeless Textbook of Orthopaedicsmalignant tumor occurs in about 1% of patients with hyperparathyroidism; Pathology of the parathyroids in hyperparathyroidism discussion of recent http://www.methodisthealth.com/endocrin/hyperpar.htm

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69. Primary Hyperparathyroidism Primary hyperparathyroidism is a metabolic disorder in which one (or more) Primary hyperparathyroidism affects about 100000 people in the US each year, http://medicalcenter.osu.edu/patientcare/healthinformation/otherhealthtopics/Bon

Skip Navigation home about us referring ... Primary Hyperparathyroidism Primary Hyperparathyroidism Did you know? The parathyroid glands are located in the neck, near the thyroid gland. These glands are responsible for calcium regulation. What is primary hyperparathyroidism? Primary hyperparathyroidism is a metabolic disorder in which one (or more) of the parathyroid glands produces too much parathyroid hormone, which can result in the loss of bone tissue. Primary hyperparathyroidism affects about 100,000 people in the US each year, and is more prevalent in women than in men. A function of the parathyroid hormone is to keep blood-calcium levels from going too low by releasing calcium from bones, conserving calcium that would be excreted by the kidneys, and increasing calcium absorption from food. When the hormone overacts, the result is a rise in the blood-calcium level. When one parathyroid gland becomes enlarged, the condition is called adenoma. When more than one becomes enlarged, the condition is called hyperplasia. Both of these conditions are benign (non-cancerous). Too much parathyroid hormone causes too much calcium to be released from bone.

70. HYPERPARATHYROIDISM AND PARATHYROIDECTOMY (MIRP) FREQUENTLY ASKED QUESTIONS  * What is hyperparathyroidism? What are the parathyroid glands? Parathyroidectomy (MIRP) http://www.ghorayeb.com/HYPERPARATHYROIDISM.html

Otolaryngology Houston Bechara Y. Ghorayeb, MD 8830 Long Point, Suite 806 Houston, Texas 77055 Tel. (713) 464 2614 Professional Information Office Information What is Otolaryngology? Post-Op Information ... Home This page was last updated: April 19, 2005 Parathyroid Anatomy Posterior surface of the thyroid gland and pharynx, showing the parathyroid glands Pictures Parathyroidectomy Informed Consent Minimally Invasive Parathyroidectomy ... TOP OF PAGE HYPERPARATHYROIDISM What Are the Parathyroid Glands? What Is Hyperparathyroidism? Why Are Calcium and Phosphorous So Important? What Causes Hyperparathyroidism? ... Further Reading Primary hyperparathyroidism is a disorder of the parathyroid glands. Most people with this disorder have one or more enlarged, overactive parathyroid glands that secrete too much parathyroid hormone. In secondary hyperparathyroidism, a problem such as kidney failure makes the body resistant to the action of parathyroid hormone. This e-pub focuses on primary hyperparathyroidism. What Are the Parathyroid Glands? The parathyroid glands are four pea-sized glands located on the thyroid gland in the neck . Occasionally, a person is born with one or more of the parathyroid glands embedded in the thyroid, the thymus, or elsewhere in the chest. In most such cases, however, the glands function normally.

71. KCSC - HPT that our beloved breed is at risk for Primary hyperparathyroidism (HPT). about hyperparathyroidismwhich is more than most people know, I suspect. http://www.socalkees.org/hpt.html

That "P" Word . . . Having dealt with this disease in one of my dogs, I have learned a great deal about it and feel I should pass on what I now know to others, hopefully saving some dogs along the way. I have chosen a question/answer format, trying to anticipate the questions other Kees owners might have. 1. Is this a disease confined just to our breed? No, it occurs in all breeds and in mixed breeds. However, according to the UCDavis Book of Dogs (a layman's medical reference book), "PHP occurs in older dogs (average age, 10 years). Keeshonds, German Shepherd Dogs and Norwegian Elkhounds appear to have a predisposition for this disorder. . ."(p.315). The surgeon who took care of my dog told me of the last 12 cases seen at her hospital, two were Keeshonden and at least one was a mixed breed. 2. Is this a disease of certain bloodlines? No. Keeshonden are widely known to be at the top of the list for this disease, and this indicates it is in many dogs in the breed, and not just in well-known lines. In fact, in the recent KCA Health Survey, this problem was reported by owners and breeders to be one of the top four known health conditions. This survey covered dogs from breeders across the country , as well as dogs bred in puppymills and by backyard breeders. 3. Can breeding stock be tested for this?

72. Hyperparathyroidism hyperparathyroidism is overactivity of the tiny glands in the neck that are within the thyroid gland http://my.webmd.com/hw/health_guide_atoz/sth149981.asp

var guid_source = ""; var guid_source_id = ""; //unused var encodedurl = ""; WebMD Today Home WebMD News Center XML News via RSS Member Services WebMD University My WebMD Find a Physician Medical Info Check Symptoms Medical Library Health Tools Clinical Trials ... Women, Men, Lifestyle Who We Are About WebMD Site Map You are in Medical Library Our Content Sources Ask A Question Clinical Trials Health Guide A-Z Health Topics Symptoms Medical Tests Medications ... Support Organizations Hyperparathyroidism Hyperparathyroidism is overactivity of the tiny glands in the neck that are within the thyroid gland (parathyroid glands). The parathyroid glands release a substance called parathyroid hormone that helps control the amount of calcium in the bloodstream. When the parathyroid glands produce too much hormone, the amount of calcium in the blood increases. The body removes calcium from the bones, absorbs more calcium from the intestines, and releases less calcium into the urine. This can result in constipation, nausea, vomiting, fatigue, and other symptoms. It can also lead to kidney stones and weakening of the bones (osteoporosis). Hyperparathyroidism may develop because of a tumor on the parathyroid gland, as a side effect of treatment for other conditions (such as Paget's disease), or for unknown reasons. Surgery may be needed to remove part or all of the parathyroid glands.

73. Hyperparathyroidism - Lucile Packard Children's Hospital hyperparathyroidism is caused by overactive parathyroid glands. Another result of hyperparathyroidism is kidney stones, because of high levels of http://www.lpch.org/DiseaseHealthInfo/HealthLibrary/diabetes/hpt.html

Diabetes Clinic Endocrinology Endocrinologists Hyperparathyroidism What is hyperparathyroidism? Hyperparathyroidism is caused by overactive parathyroid glands. Overactive parathyroid glands produce high levels of parathyroid hormones, which, in turn, results in increased levels of calcium in the blood stream. The excess calcium released by the bones leads to osteoporosis and osteomalacia (both bone-weakening diseases). Another result of hyperparathyroidism is kidney stones, because of high levels of calcium excreted into the urine by the kidneys. Hyperparathyroidism is quite rare in children. What causes hyperparathyroidism? Causes of hyperparathyroidism include benign (non-cancerous) tumors on the parathyroid glands or enlargement of the parathyroid glands. What are symptoms of hyperparathyroidism? According to a recent study, children with hyperparathyroidism experience more severe symptoms than adults. The following are the most common symptoms of hyperparathyroidism in children. However, each child may experience symptoms differently. Symptoms may include: kidney pain (due to the presence of kidney stones) diminished bone density that causes bone pain aches and pains abdominal pain nausea vomiting fatigue excessive urination confusion muscle weakness The symptoms of hyperparathyroidism may resemble other conditions or medical problems. Always consult your child's physician for a diagnosis.

74. Hyperparathyroidism - General Practice Notebook hyperparathyroidism is a condition in which there is excessive secretion of hyperparathyroidism can be primary, secondary or tertiary according to the http://www.gpnotebook.co.uk/MedwebPage.cfm?ID=-731185144

75. NPS - Therapeutic Areas: Hyperparathyroidism drug development therapeutic areas hyperparathyroidism. hyperparathyroidism. Approximately one million people in the United States suffer from one of http://www.npsp.com/drug_development/ta_hpt.php

hyperparathyroidism Approximately one million people in the United States suffer from one of two forms of hyperparathyroidism (HPT). This condition results from oversecretion of parathyroid hormone (PTH) by the parathyroid glands. Primary HPT predominately affects postmenopausal women. Secondary HPT afflicts the vast majority of kidney dialysis patients. Primary HPT Calcimimetic molecules may become useful therapies for controlling HPT. Secondary HPT scientific publications Pharmacological regulation of parathyroid hormone secretion. calcimimetic compounds The first useful drug therapies for controlling secondary HPT may be provided by a class of orally active, small molecules known as calcimimetics , which were discovered by NPS Pharmaceuticals. These compounds act at calcium receptors on the surface of parathyroid cells that are known to exert direct control on the secretion of PTH. (Calcium receptors were first cloned in 1993 by NPS scientists and their collaborators at the Brigham and Women's Hospital in Boston .) In animal models and human clinical trials, calcimimetic drugs have demonstrated the ability to rapidly and significantly lower PTH levels in secondary HPT.

76. AmgenTrials.com  -  Hyperparathyroidism Study to Assess the Efficacy and Safety of Cinacalcet HCl in Chronic Kidney Disease Subjects with Secondary hyperparathyroidism Not Receiving Dialysis http://www.amgentrials.com/patients/additional_study_areas/additional_hyperparat

home your privacy site map help ... adjust font search for trials only about clinical trials about amgen external resources Enrolling Trials A Multi-Center, Observational Registry of Subjects with Secondary Hyperparathyroidism (HPT) and Chronic Kidney Disease (CKD) A Multi-Center, Observational Registry of Subjects with Secondary Hyperparathyroidism (HPT) and Chronic Kidney Disease (CKD) A Randomized, Double-blind, Placebo-controlled Study to Assess the Efficacy and Safety of Cinacalcet HCl in Chronic Kidney Disease Subjects with Secondary Hyperparathyroidism Not Receiving Dialysis A Study to Assess the Efficacy and Safety of Cinacalcet HCl in Chronic Kidney Disease Subjects with Secondary Hyperparathyroidism Not Receiving Dialysis The Call Center will be able to assess if a study center is near you. Please reference the study title when calling. Thank you. Additional legal information Congestive Heart Failure (CHF) Dermatology Heart Failure ... additional study areas

77. Hyperparathyroidism: Symptoms And Treatments: BCM Dept Of Surgery Provides information on educational programs for undergraduates, medical students, residents, and health professionals. Also provides patient information on http://www.debakeydepartmentofsurgery.org/home/content.cfm?proc_name=Hyperparath

78. Pets Health Nutritional secondary hyperparathyroidism develops if there is a calcium deficiency in the diet, or an increase in dietary phosphorus combined with a normal http://www.cah.com/dr_library/hyperpar.html

SEARCH THIS SITE: Home Online Resources The Library Nutritional Secondary-Hyperparthyroidism TOPIC: Please select one... 9/11 Pets Loving Devotion A 9/11 Story Acupuncture and Tellington Ttouch Acupuncture in The Treatment For Animals Acupuncture-Uses and Benefits Addison's Disease (Hypoadrenocorticism) Addison's Disease-Newer Treatment Options Aging and Your Pet Age Analogy For Your Pet Aggression At The Vets Office Aggressive Behavior In Multi-Cat Households Aggression At The Vets Office ALLERGIES Anal Sac Disease ANEMIA- AUTOIMMUNE HEMOLYTIC Anesthesia and Your Pet Antifreeze Poisoning Arthritis Treatments For Cats and Dogs Asthma-Bronchitis in Cats Babesiosis in Dogs Babies and Pets-Introduction of Bacterial Skin Infections Behavior Guides for Cats Behavior Guides for Dogs Behavior Drug Therapy Birds Feeding Guide for Pet Birds Birds- Care of Bladder Stones (uroliths) Cardiac Diseases of Cats and Dogs Cat Breeds Cat Litter Cat Scratch Fever-Bartonellosis Cataracts and Your Pet Cerebellar Hypoplasia Cheytiella Dermatitis in Pets Chocolate Poisoning in Dogs Chronic Wasting Disease Clostridial Enteritis and Diarrhea in Your Pet Constipation and Your Cat Cruciate Ligament Damage and Repair Cushings Disease-Hyperadrenocorticism Cushings-Treatment of Dental Care and Your Cat Dental Tooth Abscess Diarrhea Dietary Management Demodex Mange in Dogs and Cats Dental Care Dental Care and Your Cat Dental Care Special Promotion for Your Pet Dermatomyositis Diabetes in Cats Diabetes in Dogs Digestive Disturbances in Cats Digestive Disturbances in Dogs

79. Hyperparathyroidism - Patient UK hyperparathyroidism Patient UK. A directory of UK health, disease, illness and related medical websites that provide patient information. http://www.patient.co.uk/showdoc/40000941/

PatientPlus articles are written for doctors and so the language can be technical. However, some people find that they add depth to the articles found in the other sections of this website which are written for non-medical people. Hyperparathyroidism This is a condition characterised by raised serum levels of parathyroid hormone - a peptide which causes an increase of calcium reabsorption, phosphate excretion and 1,25-dihydroxyvitamin D3 (calcitriol) production in the kidney. It increases osteoclast activity and increases serum calcium and lowers serum phosphate. Prevalence Up to 1-2 in 1000 of the population have hypoparathyroidism , but mainly affects women of post-menopausal age. Primary hyperparathyroidism Presentation Symptoms Most patients are asymptomatic. Symptoms are those of hypercalcaemia General - Thirst ++, dehydration, nocturia, joint stiffness and myopathy Renal - polyuria, polydipsia, stones GI - anorexia, vomiting, constipation, abdominal pain, peptic ulcer pancreatitis Others - pruritus, sore eyes CNS - confusion, lethargy

80. Diabetes & Other Endocrine And Metabolic Disorders - Hyperparathyroidism hyperparathyroidism. What is hyperparathyroidism? hyperparathyroidism is caused by overactive parathyroid glands. Overactive parathyroid glands produce high http://www.musckids.com/health_library/diabetes/hpt.htm

Home About Us Departments Send an e-Card ... Your Hospital Visit 171 Ashley Ave. Charleston, SC 29425 800-424-MUSC Print Version Hyperparathyroidism What is hyperparathyroidism? Hyperparathyroidism is caused by overactive parathyroid glands. Overactive parathyroid glands produce high levels of parathyroid hormones, which, in turn, results in increased levels of calcium in the blood stream. The excess calcium released by the bones leads to osteoporosis and osteomalacia (both bone-weakening diseases). Another result of hyperparathyroidism is kidney stones, because of high levels of calcium excreted into the urine by the kidneys. Hyperparathyroidism is quite rare in children. What causes hyperparathyroidism? Causes of hyperparathyroidism include benign (non-cancerous) tumors on the parathyroid glands or enlargement of the parathyroid glands. What are symptoms of hyperparathyroidism? According to a recent study, children with hyperparathyroidism experience more severe symptoms than adults. The following are the most common symptoms of hyperparathyroidism in children. However, each child may experience symptoms differently. Symptoms may include: kidney pain (due to the presence of kidney stones) diminished bone density that causes bone pain aches and pains abdominal pain nausea vomiting fatigue excessive urination confusion muscle weakness The symptoms of hyperparathyroidism may resemble other conditions or medical problems. Always consult your child's physician for a diagnosis.

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