“…However, there is controversy as to whether or not plasma iCT levels are elevated in chronic hypercalcemic states (not involving malignancy) in man. Although three groups have reported elevated basal iCT levels in the chronic hypercalcemia of primary hyperparathyroidism (Heynen and Franchimont 1974;Silva, Snider and Becker 1974;Parthemore and Deftos 1979), the majority of studies have demonstrated normal or low iCT levels (Tashjian, Howland, Melvin and Hill 1970;Deftos, Bury, Habener, Singer and Potts 1971;Adachi, Abe, Tanaka, Yamaguchi, Miyakawa, Hirakawa and Tanaka 1976;Goldsmith, Sizemore, Chen, Zalme and Altemeier l976;Rojanasathit andHaddad 1977;Morita, Fukunaga, Yamamoto, Mori and Torizuka 1975;Lambert, Heath and Sizemore 1979;Becker, Silva, Wisneski, Cyrus, Snider, Moore and Higgins 1980;Ericsson, Berg, Ingemansson, Jernby and Jarhult 1981). However, decreased thyroidal CT content (Tashjian and Voelkel 1967;Aliapoulios and Watts 1966;Broulik, Hradec and Pacovsky 1978) and C-cell hyperplasia (Kracht, Hachmeister and Christ 1970;Ljungberg and Dymling 1972;LiVolsi, Feind, LoGerfo and Tashjian 1973) as well as a diminished CT response to challenge with calcium (Lambert, Heath and Sizemore 1979;Becker et al 1980) have been reported in patients with primary hyperparathyroidism.…”