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Lowe et al. [31] evaluated 37 patients with NPHPT and found rather high prevalence rates of nephrolithiasis (14%). Similarly, Amaral et al. [32] compared patients with NPHPT and mild HPHPT and found no difference in the prevalence of fractures and nephrolithiasis between the groups. The frequency of nephrolithiasis was 18.2% in NPHPT and 18.9% in the HPHPT patients.