Psychosis in a primary hyperparathyroidism patient with mild hypercalcemia: A case report.
Koji OtsukiMuneto IzuharaShoko MiuraSatoko YamashitaMichiharu NagahamaMaiko HayashidaSadayuki HashiokaTsuyoshi MiyaokaYukie HottaYasuhiko ShimizuMasatoshi InagakiPublished in: Medicine (2021)
We emphasize that PHPT presents with various severe psychiatric symptoms, even in mild hypercalcemia. Psychiatric symptoms may be the only salient symptoms in PHPT, and thus clinicians should suspect PHPT in patients with psychiatric symptoms and mild hypercalcemia. Furthermore, PTX is recommended for PHPT-even in the presence of severe uncontrolled psychiatric symptoms, which carries risks for postoperative management-because psychiatric symptoms are expected to improve and good postoperative management is possible.