Idiopathic Hypercalciuria and HyperparathyroidismBr Med J 1970; 4 doi: https://doi.org/10.1136/bmj.4.5735.582 (Published 05 December 1970) Cite this as: Br Med J 1970;4:582
- Peter Adams,
- T. M. Chalmers,
- L. F. Hill,
- B. McN Truscott
With provocative tests of parathyroid activity based on phosphate deprivation and the administration of chlorothiazide 8 out of 19 patients with idiopathic hypercalciuria developed hypercalcaemia. Five of the eight underwent exploration of the neck and four of them had parathyroid adenomas; the fifth patient had “normal” glands but responded satisfactorily to subtotal parathyroidectomy. One patient who failed to develop hypercalcaemia had primary chief cell hyperplasia of the parathyroids.