[Diagnostic approach to hypocalcaemia and hypercalcaemia].

  title={[Diagnostic approach to hypocalcaemia and hypercalcaemia].},
  author={Marcel J. W. Janssen and Robert Y. van der Velde and Joost Cjm Swaanenburg and Joop P. W. van den Bergh},
  journal={Nederlands tijdschrift voor geneeskunde},
  volume={156 6},
A 49-year-old woman was examined for osteoporosis and metabolic bone disease after a low-trauma wrist fracture. Laboratory and additional radiological investigations revealed parathyroid hormone (PTH)-mediated hypercalcaemia caused by a parathyroid adenoma. A second patient, a 65-year-old woman with a history of abdominal complaints and tetany, appeared to have hypocalcaemia. Severe vitamin D deficiency and secondary hyperparathyroidism were detected and the patient was finally diagnosed with… CONTINUE READING