I am a 26 year old female with no underlying health problems. My endo checked my pth levels after my vitamin d 1,25 results came back high at 89 a month before. My obgyn ordered the 1,25 when I asked her to check my vitamin d...not sure why she ordered that lab instead of 25. I am 5'8.5 and 165 lbs.
Results may 15 2012
Pth intact 87
Serum ca 9.3 (9.3 in march 2011)
Ionized ca 1.24
Vitamin d (25) 40 (22 in march 2011)
Creatinine .6 (.7 in march 2011)
Bun 10 (16 in march 2011)
24 hour urine normal at 303
Alkaline phosphatase 49 (43 in march 2011)
No stones that I know of
Negative for celiacs
Follow up on 7/30/12
Pth intact 94
Serum ca 9.1
Ionized ca 1.22
Alkaline phosphatase 55
Still no stones
Vitamin d results not back yet....but I take 2,000 I u daily, fish oil daily and I am in the sun often without sunscreen for at least 15 min. So I'm thinking it should be fine.
What is this looking like? I'm concerned about this being the beginning of Kidney disease or failure even though my creatinine and bun are fine. Oh and I don't drink alcohol and I'm not a recovering alcoholic.
Is it normal for my ca to fluctuate like that in just 2 months?
What are the possible causes for my high pth. I have researched the heck out of ca homeostasis and I am stumped with my results. I take in enough ca etc in my diet as well.
Should I be concerned?
This is not straightforward. Your kidney function is normal. Your calcium is 9.1 and 9.3 both of which are normal. Your vitamin D status is normal. Your 24-hour urine calcium was high normal. This may be the most clear evidence that this situation may represent early primary hyperparathyroidism however at this point there is not enough data to move forward with surgical consideration. The high normal urine calcium indicates that you're taking in adequate calcium.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.