{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T22:42:22Z","timestamp":1785192142193,"version":"3.55.0"},"reference-count":24,"publisher":"Scientific Scholar","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n            <jats:title>Background &amp; objectives<\/jats:title>\n            <jats:p>Primary hyperparathyroidism (PHPT) is a common endocrine disorder caused by the elevated secretion of the parathormone (PTH). The aim of this study was to evaluate the haematological manifestations of PHPT in patients with normal renal functions who were treated surgically for parathyroid adenomas.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>In this retrospective cross-sectional study, 134 patients with normal renal functions who underwent parathyroidectomies for PHPT were included. The haematological manifestations were evaluated in the total study cohort and in the two groups of different calcium (Ca) levels (Group 1 \u226411.2 mg\/dl and Group 2 &gt;11.2 mg\/dl).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>The overall prevalence of anaemia, leucopenia and thrombocytopenia was 20.1, 6.7 and 6.0 per cent, respectively. Normocytic anaemia was present in 19 (14.2%) patients. There were no significant differences in the prevalence of anaemia, leucopenia and thrombocytopenia between the two groups. There were no correlations between the PTH levels and the leukocyte, haemoglobin or platelet values. Six to 12 months after the parathyroidectomy (PTX), 35.7 per cent of the patients with anaemia, 85.7 per cent of the patients with leucopenia and 100 per cent of the patients with thrombocytopenia had recovered.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Interpretation &amp; conclusions<\/jats:title>\n            <jats:p>In the present study, anaemia was seen with a variable frequency in PHPT, but there was no relationship between anaemia and high PTH or Ca levels. The development of anaemia can be seen regardless of the PTH levels in PHPT patients with normal renal functions. High-resolution rates after PTX indicate a possible association between PHPT and thrombocytopenia or leucopenia, although their prevalence is low in PHPT.<\/jats:p>\n          <\/jats:sec>","DOI":"10.4103\/ijmr.ijmr_1200_19","type":"journal-article","created":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T09:27:13Z","timestamp":1659432433000},"page":"43-48","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Haematological manifestations in primary hyperparathyroidism"],"prefix":"10.25259","volume":"155","author":[{"given":"Seher","family":"K\u0131r","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cafer","family":"Polat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","reference":[{"key":"R1-7-20241212","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00198-016-3716-2","article-title":"Primary hyperparathyroidism:Review and recommendations on evaluation, diagnosis, and management. A Canadian and international consensus","volume":"28","author":"Khan","year":"2017","journal-title":"Osteoporos Int"},{"key":"R2-7-20241212","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1007\/s13304-017-0477-1","article-title":"Updates in primary hyperparathyroidism","volume":"69","author":"Gasparri","year":"2017","journal-title":"Updates Surg"},{"key":"R3-7-20241212","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1002\/bjs.1800197405","article-title":"Hyperparathyroidism:Generalised osteitis fibrosa","volume":"19","author":"Hunter","year":"1931","journal-title":"Br J Surg"},{"key":"R4-7-20241212","doi-asserted-by":"crossref","first-page":"1276","DOI":"10.1001\/jama.1934.02750160010003","article-title":"Hyperparathyroidism:A common and polymorphic condition as illustrated by seventeen proved cases from one clinic","volume":"102","author":"Albright","year":"1934","journal-title":"JAMA"},{"key":"R5-7-20241212","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1001\/archinte.1977.03630170020008","article-title":"Anemia in primary hyperparathyroidism","volume":"137","author":"Boxer","year":"1977","journal-title":"Arch Intern Med"},{"key":"R6-7-20241212","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1097\/00005792-197403000-00002","article-title":"Primary hyperparathyroidism:Clinical and biochemical features","volume":"53","author":"Mallette","year":"1974","journal-title":"Medicine (Baltimore"},{"key":"R7-7-20241212","first-page":"28","article-title":"Anemia in primary hyperparathyroidis","volume":"7","author":"Bernheim","year":"1986","journal-title":"Nephrologie"},{"key":"R8-7-20241212","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1111\/j.1365-2265.2008.03346.x","article-title":"Anaemia and marrow fibrosis in patients with primary hyperparathyroidism before and after curative parathyroidectomy","volume":"70","author":"Bhadada","year":"2009","journal-title":"Clin Endocrinol (Oxf"},{"key":"R9-7-20241212","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1007\/s00774-017-0833-8","article-title":"Primary hyperparathyroidism:Insights from the Indian PHPT registry","volume":"36","author":"Bhadada","year":"2018","journal-title":"J Bone Miner Metab"},{"key":"R10-7-20241212","doi-asserted-by":"crossref","first-page":"97","DOI":"10.11138\/ccmbm\/2017.14.1.097","article-title":"Primary hyperparathyroidism associated to thrombocytopenia:An issue to consider?","volume":"14","author":"De Keukeleire","year":"2017","journal-title":"Clin Cases Miner Bone Metab"},{"key":"R11-7-20241212","doi-asserted-by":"crossref","first-page":"1650","DOI":"10.1001\/archinte.1978.03630360038018","article-title":"Anemia and secondary hyperparathyroidism","volume":"138","author":"Zingraff","year":"1978","journal-title":"Arch Intern Med"},{"key":"R12-7-20241212","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1159\/000188961","article-title":"Myelofibrosis secondary to renal osteodystrophy","volume":"72","author":"Nomura","year":"1996","journal-title":"Nephron"},{"key":"R13-7-20241212","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1056\/NEJM199301213280304","article-title":"Effect of serum parathyroid hormone and bone marrow fibrosis on the response to erythropoietin in uremia","volume":"328","author":"Rao","year":"1993","journal-title":"N Engl J Med"},{"key":"R14-7-20241212","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1042\/bj2590785","article-title":"Identification and characterization of parathyroid hormone receptors on dog kidney, human kidney, chick bone and human dermal fibroblast. A comparative study of functional and structural properties","volume":"259","author":"Pun","year":"1989","journal-title":"Biochem J"},{"key":"R15-7-20241212","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1590\/S0100-879X2002000100004","article-title":"Cytokine accumulation in osteitis fibrosa of renal osteodystrophy","volume":"35","author":"Duarte","year":"2002","journal-title":"Braz J Med Biol Res"},{"key":"R16-7-20241212","doi-asserted-by":"crossref","first-page":"4074","DOI":"10.1210\/en.2005-0480","article-title":"Evidence that the cells responsible for marrow fibrosis in a rat model for hyperparathyroidism are preosteoblasts","volume":"146","author":"Lotinun","year":"2005","journal-title":"Endocrinology"},{"key":"R17-7-20241212","doi-asserted-by":"crossref","first-page":"1263","DOI":"10.1172\/JCI110154","article-title":"Effect of parathyroid hormone on erythropoiesis","volume":"67","author":"Meytes","year":"1981","journal-title":"J Clin Invest"},{"key":"R18-7-20241212","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1055\/s-2007-979061","article-title":"Effect of successful parathyroidectomy on hematopoietic progenitor cells and parameters of red blood cells in patients with primary hyperparathyroidism","volume":"29","author":"Kotzmann","year":"1997","journal-title":"Horm Metab Res"},{"key":"R19-7-20241212","first-page":"613","article-title":"High levels of the circulating form of parathyroid hormone do not inhibit in vitro erythropoiesis","volume":"102","author":"Delwiche","year":"1983","journal-title":"J Lab Clin Med"},{"key":"R20-7-20241212","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1055\/s-2004-817820","article-title":"Myelofibrosis secondary to hyperparathyroidism","volume":"112","author":"Kumbasar","year":"2004","journal-title":"Exp Clin Endocrinol Diabetes"},{"key":"R21-7-20241212","doi-asserted-by":"crossref","first-page":"1199","DOI":"10.1097\/00007611-197710000-00014","article-title":"Hyporegenerative anemia in primary hyperparathyroidism","volume":"70","author":"Mallette","year":"1977","journal-title":"South Med J"},{"key":"R22-7-20241212","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1159\/000186596","article-title":"Serum erythropoietin and erythropoiesis in primary and secondary hyperparathyroidism:Effect of parathyroidectomy","volume":"59","author":"Ure\u00f1a","year":"1991","journal-title":"Nephron"},{"key":"R23-7-20241212","doi-asserted-by":"crossref","first-page":"691","DOI":"10.4103\/2230-8210.163215","article-title":"The resolution of anemia after curative parathyroidectomy is sustained even after a decade","volume":"19","author":"Bhadada","year":"2015","journal-title":"Indian J Endocrinol Metab"},{"key":"R24-7-20241212","doi-asserted-by":"crossref","first-page":"1420","DOI":"10.1210\/jc.2011-2845","article-title":"Anemia and thrombocytopenia improves after curative parathyroidectomy in a Patient of Primary Hyperparathyroidism (PHPT)","volume":"97","author":"Bhadada","year":"2012","journal-title":"J Clin Endocrinol Metab"}],"container-title":["Indian Journal of Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.4103\/ijmr.IJMR_1200_19","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T23:04:47Z","timestamp":1751497487000},"score":1,"resource":{"primary":{"URL":"https:\/\/ijmr.org.in\/haematological-manifestations-in-primary-hyperparathyroidism\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":24,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/ijmr.ijmr_1200_19","relation":{},"ISSN":["0971-5916"],"issn-type":[{"value":"0971-5916","type":"print"}],"subject":[],"published":{"date-parts":[[2022,1]]}}}