"CAUSE:
Autonomous parathyroid activity and hypercalcaemia occur following prolonged
secondary hyperparathyroidism.
The set point at which serum calcium shuts off PTH production is raised.
Most commonly seen in patients undergoing renal dialysis
TREATMENT:
Medical:
Cinacalcet increases sensitivity of calcium receptors on parathyroid cells to reduce
parathyroid hormone (PTH) levels .
95% response rate.
Surgical:
Parathyroidectomy.
"