Pediatric Hyperparathyroidism Guidelines

Updated: Dec 07, 2022
  • Author: Edna E Mancilla, MD; Chief Editor: Sasigarn A Bowden, MD, FAAP  more...
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Guidelines Summary

There are no guidelines for the management of primary hyperparathyroidism in children. Adult guidelines recommend surgery for symptomatic patients and asymptomatic patients whose serum calcium is greater than1 mg/dL above the upper normal limit, have low BMD, vertebral fracture, creatinine clearance < 60 mL/min, 24 hr urine Ca >300 mg/day (males) or >250 mg/day (females), nephrolithiasis or nephrocalcinosis, or age < 50 years. [30]