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Doctor insights on: Is Elevated Pth But Normal Calcium Most Likely A Parathyroid Tumor

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Ionized Calcium 4.65, PTH 133, Calcium 10.3, Vitamin D 7, Phosphorus 4.9, recurrent Kidney stones. Thyroid lobe, two parathyroids removed in 2004.

Ionized Calcium 4.65, PTH 133, Calcium 10.3, Vitamin D 7, Phosphorus 4.9, recurrent Kidney stones. Thyroid lobe,  two parathyroids removed in 2004.

Uncertain: These test results don't add up to a straight forward answer. However, I would be concerned about the possibility of recurrent primary hyperparathyroidism. You should take Vit D to eliminate Vit D deficiency as a cause for high PTH levels. Once this is done, if you still have high PTH with high calcium levels, you have recurrent primary HPTH and will need surgery again. ...Read more

Dr. Alen Cohen
47 doctors shared insights

Parathyroid Tumor (Definition)

There are 4 parathyroid glands. One each situated in upper and lower pole region of the thyroid. The glands which are soft and no larger than 3-4 mm are almost flat. The tumor is firm and round, and may expand the gland out. The tumors may or may not be symptomatic and based on overexpression of the parathyroid hormone. Should gland migrate say into mediastinum then imaging ...Read more


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2 DEXA scans, 2 yrs apart both tscore +3. 10.5 calcium on 3 bloodtests this year, tho varies. Pth of 25.7&31. Recent vit d of +96 brought down to 64. Parathyroid tumor?

2 DEXA scans, 2 yrs apart both tscore +3.  10.5 calcium on 3 bloodtests this year, tho varies. Pth of 25.7&31.  Recent vit d of +96 brought down to 64.  Parathyroid tumor?

Doesn't sound likeit: Sounds more like supplementation with vitamin d. Level of 60 may not be any better than 30-35. Several reasons for high T-score on dexa- good bones, arthritic changes ( which can falsely elevate values), bone disorders. Discuss with your doc. ...Read more

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What else could cause elevated pth but normal calcium other than parathyroid?

What else could cause elevated pth but normal calcium other than parathyroid?

Low Vitamin D: Low vitamin d can cause secondary hyperparathyroidism (high PTH level due to something outside of the parathyroid gland). Low vitamin d levels can make someone's calcium lower than it should be (even if it's still in the normal range). The parathyroid glands make more PTH to try to get the calcium back up where it should be. ...Read more

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My dr. Won't check pth because my calcium levels are consistently normal. Will calcium always be elevated in parathyroid disorders?

My dr. Won't check pth because my calcium levels are consistently normal. Will calcium always be elevated in parathyroid disorders?

Parathyroid test: Parathyroid levels are very closely reflected by your calcium levels my impression is you are concerned about over active and general totally normal calcium is enough there are rare cases where actual assessment by direct measurements is of value in a fair number of patients with vitamind insufficiency we see high PTH levels which is a costly way to decide all of us need calcium and vitamin d. ...Read more

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I have an elevated pth with normal calcium. I also have multiple lung nodules. I now have swelling in my lymph area near the collarbone area?

I have an elevated pth with  normal calcium. I also have multiple lung nodules. I now have swelling in my lymph area near the collarbone area?

Get evaluated: You have many findings that warrant further workup. Elevated PTH may be due to a functioning parathroid adenoma. An ENT can do that workup for you. The lung nodules are worrisome and require further workup as well. May be a completely separate medical issue. You may need a ct guided biopsy of one of the lung nodules to sort this out. Seek professional help. ...Read more

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What are things you should know if you have an elevated pth, normal calcium level and vitamin d deficiency?

What are things you should know if you have an elevated pth, normal calcium level and vitamin d deficiency?

Correct D deficiency: Vitamin d deficiency reduces intestinal calcium absorption and stimulates parathyroid hormone secretion which maintains the blood calcium in the normal range until it is so severe that a low blood calcium develops. Correction of d deficiency restores the parathyroid hormone and calcium to normal. ...Read more

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Bone pain ( hip, groin, knee, and now heel, both wrists, right shoulder) . Elevated pth, calcium in 24 hour urine, negative scan, normal calcium blood?

Rheumatologist : I recommend you see a rheumatologist for evaluation of tour joint complaints. A rheumatologist will review your history and perform a physical exam. Most likely, further testing would be done to help come up with a diagnosis. Once an accurate diagnosis is established, appropriate treatment would be initiated. ...Read more

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Neoplasms (Definition)

"tumor" literally translates as "mass", so even a fresh bruise could be called a "tumor". Doctors use the term "neoplasm" (tranlates literally as new growth) to describe tumors that are abnormal growths of cells. These may be benign or malignant; "malignant" = cancer. In everyday usage, we use "tumor" ...Read more


Parathyroid Hormone (Definition)

Parathormone or parathyrin, is secreted by the chief cells of the parathyroid gland. It acts to increase the concentration of calcium ...Read more