hyperparathyroidism(副甲狀腺機能亢進)

症狀/併發症(symptom/complication)	@bone @@Salt-and pepper appearance of skull @@osteoporosis 資料來源：uwmsk @Kidney disease @@Renal stone ( <15%) @@urinary tract stone @@abdominal pain @Hypercalcemia symptoms @@@psychiatric apathy 參見：Hypercalcemia(高血鈣症)
病因(etiology)	|excessive bone resorption |stimulate digestive duct calcium resorption
檢查/準則(examination/criteria)	surgery criteria #Markedly elevated serum calcium > 11.4 mg/dl #History of life-threatening hypercalcemia #Ccr below 70% of normal #Renal stone #Urinary calcium increased (400 mg/dl) #Bone mass decrease (below 2SD in Z-score) #Young patient (< 50 years old) #Patient ask for operation
治療(treatment)	surgery $Parathyroidectomy: 95% cure $3.5 glands resection and fore-arm implantation the other 0.5: recurrent hyperparathyroidism 20% drug $little effect of estrogen replacement
鑑別診斷(Differential Diagnosis)
流行病學(Epidemiology)

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