Tertiary Hyperparathyroidism

Abstract

We in Australia, after 15 years of running repairs and alterations, have a vehicle in need of a major overhaul. Like you in Britain, our difficulties are basically those of finance, how best to obtain and apply this to provide all members of the community with complete cover.It has become apparent that our ideas on the basic philosophy of national health care are again approximating, and that our paths, at present as antipodean as our countries, are converging.Both our countries can gain much from each other in their efforts to provide, on a national scale, readily available medical care of the highest standard. This we shall both achieve if all concerned approach the task with open minds, actuated by the highest motives, basing their decisions on facts and diligently pursuing one common purpose.What would have been the reaction of those distinguished gentlemen who attended that 65th Annual Meeting if they could perchance be with us this week ? Roddick would no doubt have exhorted us to continue our efforts to achieve a national registration board. Lister would have experienced great satisfaction in the progress of surgery. Osler would doubtlessly have regarded our progress in the control of medical practice with " equanimity."All three would assuredly survey the advances of science and technology with amazement, and we trust they would approve the progress made towards maturity, and promised in our " vigorous infancy," of " British Medicine in Australia."When the time arrives for your return to your homes we hope that you will take with you many happy memories of your stay in this land of Australia, new friendships, and an enhanced knowledge and appreciation of our country, its people, and their way of life.We, for our part, shall long cherish this occasion and treasure the wisdom you bring with you, as well as the great personal pleasure we have in this meeting with you.

Spontaneous Remission of Severe Hyperparathyroidism in Chronic Renal Failure

“…Such a mechanism may be responsible for the fea tures observed here although parathyroid glands are usu ally hyperplastic in renal failure. Indeed, evidence of the development of a parathyroid adenoma has been reported n chronic renal failure [6,7], and it is very unlikely that there was necrosis of the four parathyroid glands. We consider, however, that our patient developed tertiary HPT over the year 1980 as shown by the marked rise in iPTH level in spite of the increase in serum calcium.…”

Hypercalcaemia in thyrotoxicosis with and without hyperparathyroidism

“…There appears to be a preponderance of females in cases where the sex is known, and the thyroid is usually nodular. Many diseases are now known to be associated with primary hyperparathyroidism (Davies et al, 1968) and it is probably fortuitous that thyrotoxicosis happens to be one of them.…”

A Detailed Study of the Urinary Peptides in a Patient with Osteomalacia and Hyperparathyroidism

“…However, her parathyroid bone disease had progressed and her ionized serum calcium concentration was 6.4/100 ml. She was considered to have tertiary hyperparathyroidism (Davies et al, 1968). A parathyroid adenoma was subsequently removed (Mr D. R. Davies) and her THP excretion fell to normal.…”