| | Primary Hyperparathyroidism |
 | | Cope, in his classic monograph reporting the first 343 cases of primary hyperparathyroidism from the Massachusetts's General Hospital, described the classic symptoms of nephrolithiasis, bone diseases, abdominal groans from peptic ulcer disease and pancreatitis, psychic moans from fatigue and CNS disturbance, and hypertension that characterize this disease. |
 | | Lafferty examined 100 patients with mild hyperparathyroidism who were followed closely and found progression of disease in up to 22% of cases. |
 | | In fact, a recent epidemiologic study by Melton of the Mayo clinic looking at national statistics from primary hyperparathyroidism concluded that it is more expensive to follow a patient clinically for 5 years than it is to treat initially with surgery. |
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