How is clinical presentation of hyperPTH? Hx

-The clinical syndrome can be easily remembered as "bones, stones, abdominal groans, and psychic moans“ -Routine measurement Ca = the most common clinical presentation changed from severe bone disease or kidney stones to asymptomatic hyperCa = primarily a selective cortical bone loss -Bone and joint pain, pseudogout, and chondrocalcinosis have also been reported -In the early clinical descriptions, some patients developed osteitis fibrosa cystica, (increased generalized osteoclastic bone resorption) -Radiographic plain film changes associated with osteitis fibrosa cystica include subperiosteal resorption in the phalanges and a finding known as salt and pepper skull -This presentation is rarely seen today except in medically underserved populations