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Delayed work\u2010up identified extreme hypercalcemia, and subsequently, parathyroid adenoma was diagnosed. Medical and surgical management resulted in complete resolution. The misdiagnosis led to a substantial diagnostic delay.<\/jats:p>","DOI":"10.1002\/jgf2.754","type":"journal-article","created":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T11:54:16Z","timestamp":1739534056000},"page":"263-266","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Extreme hypercalcemia secondary to parathyroid adenoma obscured by excessive coffee consumption and premature ventricular complexes"],"prefix":"10.1002","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8440-8892","authenticated-orcid":false,"given":"Yuval","family":"Avidan","sequence":"first","affiliation":[{"name":"Department of Cardiology Lady Davis Carmel Medical Center  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3588-0338","authenticated-orcid":false,"given":"Sameer","family":"Kassem","sequence":"additional","affiliation":[{"name":"Department of Medicine Lady Davis Carmel Medical Center  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41235-022-00460-z"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.7861\/clinmedicine.17-3-270"},{"issue":"3","key":"e_1_2_9_4_1","first-page":"94","article-title":"Ventricular fibrillation in hypercalcaemic crisis due to primary hyperparathyroidism","volume":"62","author":"Kiewiet RM","year":"2004","journal-title":"Neth J Med"},{"issue":"9","key":"e_1_2_9_5_1","first-page":"1042","article-title":"Flaws in clinical reasoning: a common cause of diagnostic error","volume":"84","author":"Wellbery C","year":"2011","journal-title":"Am Fam Physician"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/anec.12316"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.109.921056"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(87)90348-1"},{"issue":"13","key":"e_1_2_9_9_1","article-title":"2017 AHA\/ACC\/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death","volume":"138","author":"Al\u2010Khatib SM","year":"2018","journal-title":"Circulation"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.115.002503"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2003.08.013"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1359\/jbmr.081018"}],"container-title":["Journal of General and Family Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jgf2.754","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T07:20:32Z","timestamp":1745565632000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jgf2.754"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,14]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1002\/jgf2.754"],"URL":"https:\/\/doi.org\/10.1002\/jgf2.754","archive":["Portico"],"relation":{},"ISSN":["2189-7948","2189-7948"],"issn-type":[{"type":"print","value":"2189-7948"},{"type":"electronic","value":"2189-7948"}],"subject":[],"published":{"date-parts":[[2025,2,14]]},"assertion":[{"value":"2024-06-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}