Thyroid Cancer / Nodules & Hyperthyroidism Expert Forum
Is is primary hyperparathyroidism
About This Forum:

Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Avatar_universal
Is is primary hyperparathyroidism
I was diagnosed with bilateral kidney stones during an ultrasound. Stones are of a calcium variety.

Subsequent tests reveal
PTH - 138
Serum Ca - 9.3
Urine Calcium 24 hr - 124.8
Vital D 25 (OH) - 10

Please advice if this is primary or secondary hyperparathyroidism or if I need further lab tests to complete the diagnosis.
Discussion is closed
Cancel
2 Answers
Page 1 of 1
97953_tn?1440868992
The calcium is very normal, the D is quite low and the 24h U calcium is normal.  Hard to know if this is primary or secondary, but the kidney stones are concerning.  Sometimes we give some vitamin D replacment (1000IU-2000IU/day) and follow the levels closely to sort this out.  Or repeating the PTH/Ca levels every few months for a while to see if a trend or diagnosis becomes more apparent.  I have seen several cases like this that end up being primary hyperpara, but would need to see more data over time to make this conclusion.
Discussion is closed
Cancel
Avatar_universal
As backgroung info, I am a 35 yr old female with no known family history of kidney stones.
Discussion is closed
Cancel
A
A
Blank
Weight Tracker
Weight Tracker
Start Tracking Now