Clinical Findings and Causes of Primary Hyperparathyroidism during18 Years in Loghman Medical Center

Document Type : Original Article

Authors

Professor of General Surgery, Shahid Beheshti University of Medical Sciences and Health Services, Loghman Hospital, Tehran, Iran

Abstract
Background and Objective: Primary hyperparathyroidism is a relatively common endocrine disease
that can be accompanied by non-specific symptoms such as weakness, fatigue, bone pain, and kidney stones.
From the laboratory point of view, this disease is seen with an increase in the level of calcium and
parathyroid hormone. Definitive treatment in these patients is parathyroidectomy surgery.
Materials & Methods: This study, which was conducted in a descriptive-retrospective manner, the files
in the archives of Loghman Medical Center, which underwent parathyroidectomy from 1385 to 1402, were
reviewed.
Results: Between 1385 and 1402, 43 patients underwent parathyroidectomy in Loghman Hospital, their
mean age was 47.3 ± 15 years, the youngest patient was 15 years old, and the oldest patient was 79 years
old. 6 cases were men (14%) and 37 cases were women (86%). The ratio of women to men in this study was
6.14 to 1. Adenoma is the most common cause of primary hyperparathyroidism.
Conclusion: Primary hyperparathyroidism is a relatively common disorder in Iran, which usually
manifests with bone pain and a history of kidney stones. Unlike western countries, this disease in Iran is
usually diagnosed after symptoms develop, but like others, parathyroid adenoma is the most
common cause.

Keywords