Tertiary hyperparathyroidism

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Overview
Tertiary hyperparathyroidism is a state of excessive secretion of parathyroid hormone (PTH) after a long period of secondary hyperparathyroidism and resulting in hypercalcemia.

When the hyperparathyroidism can not be corrected by medication one calls it tertiary hyperparathyroidism. The treatment of choice is surgical removal of three and one half parathyroid glands.

However the basis of treatment is still prevention in chronic renal failure, starting medication and dietary restrictions long before dialysis treatment is initiated.