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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 answer3 doctors weighed in
Dr. Chaitanya Mamillapalli
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
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Dr. Ed Friedlander
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


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