Elk Grove, CA
A 52-year-old female asked:
Calcium 10.6, then 10.2 ( 1 wk apart), vitamin d 15, pth 67, rt upper abd pain, rt flank pain, fatigue, primary or secondary hyperparathyroidism?
1 doctor answer • 3 doctors weighed in

Dr. Chaitanya Mamillapallianswered
Internal Medicine 22 years experience
Both primary and sec: patient likely has combination of primary and secondary hyperparathyroidism.calcium level is high 10.6, intact PTH is not suppressed. This would indicate possible underlying primary hyperparathyroidism. While vitamin D deficiency can cause secondary hyperparathyroidism, usually calcium levels are not elevated in this context. recommend repeat evaluation after vitamin D replacement
Created for people with ongoing healthcare needs but benefits everyone.
315 viewsReviewed >2 years ago

Dr. Ed Friedlander commented
Pathology 46 years experience
Dr. Mamillapalli is correct. Fix the vitamin D deficiency and see what's going on. Usually in real primary hyperparathyroidism, the calcium is higher.
Jun 26, 2018
Last updated Jun 27, 2018
People also asked
Connect with a U.S. board-certified doctor by text or video anytime, anywhere.
24/7 visits - just $44!
50% off with $15/month membership
Disclaimer:
Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.