Characteristics of primary hyperparathyroidism in our country

Primary hyperparathyroidism (HPT) is rarely diagnosed in our country and when found, it is in the very late phase. Skeletal and renal forms of the disease are predominating, as it was in the developed couuntries thirty or forty years ago. Among 100 patients operated for HPT from 1980 to 1993, skeletal changes dominated in 30 patients, and 50% of them had pathological fractures before operation. We found classical renal form in 47 patients. Nineteen patients were operated for urological complications before HPT was diagnosed. Hypercalcaemic form dominated in 16 patients, of whom one third had hypercalcaemic crisis. In 7 patients with oligosymptomatic form, we fond adenoma of the parathyroid gland during the thyroid operation.