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July 1, 1974


Author Affiliations

Boston University Medical Center Boston

JAMA. 1974;229(1):86. doi:10.1001/jama.1974.03230390062041

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Sir.—  Since I am the editor who selected Dr. Paloyan and his group for the monograph on hyperparathyroidism that was somewhat critically reviewed by Drs. Cope and Goldman (228:1038, 1974), I feel that a response is necessary. Firstly, Dr. Paloyan has as one of his coauthors a respected endocrinologist, Dr. Ann Lawrence. Secondly, it is well known that his concept of a very high incidence of hyperplasia in primary hyperparathyroidism is not generally accepted, but it seemed desirable to have this thesis documented in an extended monograph for study. It is interesting that during this past month two papers from major institutions with considerable experience in parathyroid surgery have accepted the notion that hyperplasia in primary hyperparathyroidism is a far more common disease than had previously been recorded (Surgery 75:75, 1974; Surg Clin N Am 54:443, 1974). These physicians at Lackland Air Force Base Hospital and the Cleveland Clinic have