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Problems in acute hyperparathyroidism

The diagnostic and therapeutic problems of acute hyperparathyroidism are discussed on the basis of 4 selected cases. A highly raised serum‐calcium level was demonstrated in all 4 cases. Serum‐calcium determinations should be undertaken in every case which presents a vague clinical picture. Primary hyperparathyroidism should be treated by operation as soon as the diagnosis has been made, before any other surgical therapy of accompanying disorders is carried out, such therapy being liable to provoke a crisis requiring immediate operation.