Which of the following is a common complaint associated with hyperparathyroidism?

Hyperparathyroidism is characterized by an overproduction of parathyroid hormone (PTH), which plays a crucial role in regulating calcium levels in the body. One of the hallmark manifestations of hyperparathyroidism is the increased level of calcium in the blood, a condition known as hypercalcemia. This elevated calcium level is directly linked to the formation of kidney stones, particularly calcium stones.

Patients with hyperparathyroidism often experience metabolic changes that lead to increased calcium excretion in the urine, creating an environment conducive to stone formation. It is common for individuals to present with recurrent kidney stones as a significant symptom of the disorder.

In contrast, while fatigue can be a symptom associated with various conditions, it is not a specific indicator of hyperparathyroidism. Weight gain and skin rash are also not directly related to the pathophysiological aspects of hyperparathyroidism, making them less relevant in the context of this endocrine condition. Therefore, kidney stones represent a direct consequence of the alterations in calcium metabolism that occur with hyperparathyroidism, making it the correct association in this question.