FAMILIAL HYPOCALCEURIC HYPERCALCEMIA
SUMMARY
1. Genetic condition, benign, does not treatment.
2. Problem with calcium sensor which requires higher serum calcium level before turning PTH secretion off.
3. Calcium:creatinine clearance ratio < 0.01: high liklihood of FHH.
4. If ratio > 0.02: dx is excluded and consider primary hyperparathyroidism.
Reference(s)
Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].