Inadequate parathyroid response in acute pancreatitis.

  title={Inadequate parathyroid response in acute pancreatitis.},
  author={G M Robertson and Edward W. Moore and Dr. D. M. Switz and Glen W. Sizemore and Herschel L. Estep},
  journal={The New England journal of medicine},
  volume={294 10},
We studied nine consecutive hypocalcemic patients with acute pancreatitis to elucidate the mechanism of hypocalcemia. Mean serum ionized calcium, 0.97 mM, was below the normal mean of 1.16 mM (P less than 0.001). Seven of eight patients tested had normal parathyroid hormone levels. All responded to parenteral parathyroid extract by increasing serum ionized calcium and urinary cyclic AMP, indicating parathyroid-hormone-responsive target organs. Calcitonin and glucagon concentrations were… CONTINUE READING

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