A member 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?

A doctor has provided 1 answer
Dr. Chaitanya Mamillapalli answered

Specializes in Internal Medicine

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

Answered Jun 27, 2018

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