To the Editor: In the Clinical Crossroads discussing a patient with primary hyperparathyroidism, Dr Strewler1 did not mention the intake of thiazide diuretics in the differential diagnosis of hypercalcemia. This is particularly important in cases of suspected primary hyperparathyroidism in which thiazide therapy may have an impact on disease management.
Mikhail N, Cope D. Evaluation and Treatment of Primary Hyperparathyroidism. JAMA. 2005;294(21):2699-2700. doi:10.1001/jama.294.21.2700