Many patients are referred to our clinics with primary hyperparathyroidism. The Sestamibi scans performed by the nuclear medicine department are particularly useful for those patients who have had previous neck surgery, where previous exploration of the neck may have distorted the anatomy. Parathyroid hyperplasia secondary to MEN is seen commonly at the Hammersmith site.

For patients who have had previous neck surgery, localisation of further parathyroid adenomas is facilitated by selective venous sampling and rapid PTH assay (link to endocrine radiology webpage).

At the Hammersmith Hospital there is a specialist metabolic bone disease clinic which is led by Professor Graham Williams and Dr Duncan Bassett who are clinical and research experts in this area.

Guidelines for Investigation and Management of Vitamin D Deficiency in General Practice - Vitamin D Deficiency Guidelines (PDF) - Vitamin D Deficiency Flowchart (PDF)