Infliximab therapy in men may decrease sperm motility and the number of normal oval forms. Whether these findings translate into impaired fertility is an area for further study.
Hypercalcemia due to hyperparathyroidism or other conditions is a known cause of neuropsychiatric disturbances, including dementia. Normocalcemic hyperparathyroidism is not .usually considered a cause of cognitive impairment. In addition, dementia, from whatever cause, is not usually considered reversible if present for several years. This report describes a patient who had a threeyear history of variable but progressive dementia. On geriatric evaluation the patient's serum calcium concentration was within the normal range, as were serum concentrations of phosphate and albumin. After removal of a parathyroid adenoma, the serum calcium concentration dropped from the upper to
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