Primary hyperparathyroidism: a review of 35 cases.

A review is presented of 35 cases of primary hyperparathyroidism, studied before and after parathyroidectomy. Presenting clinical features varied widely but were mostly related to renal stone disease. The critical value of serum ionised calcium and parathyroid hormone measurements are emphasized. Metabolic acidosis due to renal bicarbonate wastage was present in 68% and improved significantly following operation.