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Correspondence
January 19, 2009

Elevation of Parathyroid Hormone Levels in Children Who Underwent Parathyroidectomy for Hyperparathyroidism

Arch Surg. 2009;144(1):92-93. doi:10.1001/archsurg.2008.515

Solorzano et al1 performed a very important retrospective case study on 505 patients with hyperparathyroidism, with a mean follow-up of 41 months. They found that more than 33% of patients had elevated parathyroid hormone (PTH) levels after 6 months, though only 4.8% of them developed recurrent disease. This finding is extremely important for clinical practice.

Our group recently published a study2 about 10 children (of 790 patients treated in our department 1996-2007) with primary hyperparathyroidism. Although we monitored PTH levels in only 7 of these 10 children, we did not find any of them to have persistent postoperative elevation of PTH levels.

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