Tertiary hyperparathyroidism
Tertiary hyperparathyroidism Updated: 07/02/2023 © Jun Wang, MD, PhD General features Autonomous hypersecretion of PTH due to parathyroid hyperplasia/adenoma arising from longstanding secondary hyperparathyroidism Some authorities reserve the term for secondary hyperparathyroidism that persists after successful renal transplantation Often detected after hemodialysis or transplantation corrects the renal disease Clinical presentations History of secondary hyperparathyroidism Presentation of underlying disorders Possible diffuse calcinosis Key laboratory findings Abnormalities of underlying disorder, such as abnormal renal function test Elevated levels of PTH High serum phosphorus Elevated calcium Treatment Surgery Back to parathyroid pathology Back to pathology of endocrine system Back to contents