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1 May 2008

Volume 46, Number 9
Clinical Infectious Diseases 2008;46:1452–1454
1058-4838/2008/4609-0022$15.00
DOI: 10.1086/587173
BRIEF REPORT

Shingles (Varicella Zoster) Outbreaks in Patients with Hyperparathyroidism and Their Relationship to Hypercalcemia

James Norman and

Douglas Politz

Norman Parathyroid Clinic, Tampa, Florida

Shingles (varicella zoster) can be a presenting symptom of hyperparathyroidism and occurs twice as often (rate, 3.7%) among patients with hypercalcemia than in age‐matched cohorts of patients >40 years of age who have normal calcium levels. The incidence of shingles increased in a linear fashion, from an annual rate of 1.5% among patients with serum calcium levels <10.5 mg/dL to 11% among patients whose calcium levels reached 13 mg/dL ( ), a rate that is 6 times greater than that among age‐matched historical control individuals ( ).

Received 11 November 2007; accepted 2 January 2008; electronically published 26 March 2008.

Reprints or correspondence: Dr. James Norman, Norman Parathyroid Clinic, 3238 Cove Bend Dr., Tampa, FL 33613 ().

Cited by

James Norman and Douglas Politz. (2008) Reply to Rafeiner et al.. Clinical Infectious Diseases 47:9, 1236-1237
Online publication date: 1-Nov-2008.
Philippe Rafeiner, Samuel Henz, and Katia Boggian. (2008) Relationship between Shingles (Varicella Zoster) and Hypercalcemia Not Found. Clinical Infectious Diseases 47:9, 1235-1236
Online publication date: 1-Nov-2008.
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