DogMatchUp
Health Condition

Primary Hyperparathyroidism

Primary hyperparathyroidism is an endocrine disorder characterized by excessive secretion of parathyroid hormone, leading to high blood calcium levels. It is most often caused by a benign tumor of the parathyroid gland.

Detailed Description

Primary hyperparathyroidism (PHPT) results from overproduction of parathyroid hormone (PTH), usually due to a benign parathyroid adenoma. This leads to persistent hypercalcemia, which can cause kidney damage, urinary stones, and neuromuscular symptoms. The disease often progresses insidiously, with subtle early signs, and can be life-threatening if left untreated.

Common Symptoms

  • Increased thirst
  • Increased urination
  • Lethargy
  • Decreased appetite
  • Muscle weakness
  • Urinary tract stones

Management Options

  • Surgical removal of affected parathyroid gland(s)
  • Medical management for mild cases or pre-surgical stabilization
  • Monitoring and management of calcium levels post-surgery

Frequently Asked Questions

Is primary hyperparathyroidism inherited in dogs?

In some breeds, such as the Keeshond, primary hyperparathyroidism is inherited in an autosomal dominant pattern with incomplete penetrance.

What are the first signs of primary hyperparathyroidism?

Early signs often include increased drinking and urination, but may be subtle and detected only through routine bloodwork.

Can primary hyperparathyroidism be prevented?

Responsible breeding using genetic testing can reduce the incidence in predisposed breeds.

Is surgery curative for primary hyperparathyroidism?

Yes, surgical removal of the affected gland is usually curative if performed before significant organ damage occurs.

How often should at-risk dogs be screened for primary hyperparathyroidism?

Annual blood calcium checks are recommended for middle-aged and older dogs in predisposed breeds.

Condition Details

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Typical Age of Onset

Middle-aged to older dogs (average 8–11 years)

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Testing Available

Yes

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Diagnosing Methods

Blood tests for calcium and PTH; Ultrasound of parathyroid glands; Genetic testing

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Preventative Measures

Genetic screening of breeding stock; Early blood calcium screening in at-risk dogs

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Related Conditions

Secondary hyperparathyroidism, Hypercalcemia of malignancy, Chronic kidney disease