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Previous Volume 359:391-403 July 24, 2008 Number 4 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 58-year-old man is found on laboratory testing to have a serum calcium level of 6.0 mg per deciliter (1.5 mmol per liter) (normal range, 8.5 to 10.5 mg per deciliter [2.1 to 2.6 mmol per liter]), an albumin level of 3.9 g per deciliter, and a phosphorus level of 6.0 mg per deciliter (1.94 mmol per liter) (normal range, 2.5 to . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Differential Diagnosis

Evaluation

Treatment and Clinical Monitoring

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the University of California, San Francisco, Department of Veterans Affairs Medical Center, San Francisco.

An audio version of this article is available at www.nejm.org.

Address reprint requests to Dr. Shoback at the University of California, San Francisco, Endocrine Research Unit, 111N, Department of Veterans Affairs Medical Center, 4150 Clement St., San Francisco, CA 94121, or at dolores.shoback@ucsf.edu.

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