![]() ![]() (Stones refers to nephrolithiasis caused by hypercalciuria from the hyperparathyroid-induced hypercalcemia. Once known for the aphorism as a disease of "stones, bones, groans, and moans," as suggested by Fuller Albright, it is now usually asymptomatic when initially diagnosed. Primary hyperparathyroidism is a relatively common endocrine disorder that can cause hypercalcemia with significant renal and skeletal complications over time, although most patients identified in recent decades have relatively mild degrees of serum calcium elevations.
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