Hyperparathyroidism with Renal Insufficiency

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Abstract
IN 1949 Burnett et al.1 reported a series of 6 cases characterized by hypercalcemia without hypercalcuria or hypophosphatemia, calcinosis and renal insufficiency. In addition the patients gave a history of prolonged or excessive intake of absorbable alkali and milk and showed clinical improvement on a low-calcium diet. Autopsy was performed in only 1 case, no parathyroid tissue being found. Histologic section in another case was reported as showing "hyperplasia of chief and oxyphil cells characteristic of secondary hyperparathyroidism."A review of the literature revealed no subsequent case reports with autopsy findings. Clinically and morphologically the following case was at first . . .