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Hyperparathyroidism, desired phosphate and hypercalcemia

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Assessing the Clinical and Laboratory Parameters

The parathyroid glands are overactive in the face of hypercalcemia and a normal phosphate. The parathyroid gland may be functioning autonomously, independent of ambient calcium level. Other causes of hypercalcemia should be borne in mind

Less than 1% of all patients are in this category.

 

Therapeutic options:

 

Dialysis Prescription

Dialysis Prescription

A reduction in the dialysate calcium concentration from 1.25 to 1.0 mmol/L might help with the hypercalcemia, but would introduce a stimulus which might further increase the PTH level.

 

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