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Parathyroid crisis and acute viral hepatitis B infection.
  1. H. E. Mulcahy,
  2. F. E. Murray,
  3. R. Freaney,
  4. J. E. Hegarty
  1. Gastroenterology and Liver Unit, St Vincent's Hospital, Dublin, Ireland.


    The simultaneous development of acute hyperparathyroidism and viral hepatitis B infection in a 72 year old male is described. Resolution of the hepatitis was accompanied by improvement in the parathyroid hormone mediated hypercalcaemia. It is postulated that antibodies to the hepatitis B virus may have altered the calcium 'set point' allowing uncontrolled synthesis and release of parathyroid hormone during the acute illness.

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