PT - JOURNAL ARTICLE AU - Michael M Cai AU - Lawrence P McMahon AU - Edward R Smith AU - David S Williams AU - Stephen G Holt TI - Hyperparathyroidism in chronic kidney disease: complexities within the commonplace AID - 10.7861/clinmedicine.12-4-333 DP - 2012 Aug 01 TA - Clinical Medicine PG - 333--337 VI - 12 IP - 4 4099 - http://www.rcpjournals.org/content/12/4/333.short 4100 - http://www.rcpjournals.org/content/12/4/333.full SO - Clin Med2012 Aug 01; 12 AB - Secondary hyperparathyroidism in patients with chronic kidney disease (CKD) is common and usually caused by associated metabolic abnormalities, in particular, hypocalcaemia and hyperphosphataemia. Nevertheless, other causes of hyperparathyroidism can exist concurrently with CKD, challenging diagnostic interpretation and therapeutic intervention. We present four cases of hyperparathyroidism in patients with CKD that highlight some of these dilemmas.