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ModerateEndocrinologyPrimary hyperparathyroidismuk-plab-1

A 55-year-old man has persistent hypercalcaemia on repeated tests (adjusted calcium 2.85 mmol/L). His PTH level is inappropriately high. He feels tired but is otherwise well. Renal function is normal and there is no evidence of malignancy. What is the most likely diagnosis?

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