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OCR: idism, the In patients with primary hy (and erparathyr inverse relationship between serum PTI um still parathyroid cell number) and serum cal d and exists, although the relationship is altere m. In occurs at a different level of serum calcit essed or lar fluid other words, PTH secretion can be suppr kept constant by an increase in extracellu Tel. calcium concentration above a critical le id glands toalthough the sensitivity of the parathyr set at a changes in serum calcium is altered and ty of different level. This occurs in the majori as. In patients with parathyroid gland adenom e set point patients with parathyroid hyperplasia, th nass of for PTH release may be normal, but the r result is a parathyroid tissue is increased and so the tration for relatively greater circulating PTH concer ...