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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Autoimmune Parathyroidsm
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
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.
Autoimmune Parathyroidsm
by maria19609, Jun 29, 2009 01:45PM
Hi doc,
I'm a 48 yr. old female who just recently went for my yearly ultrasound with my Endo. I asked if it were possible that the parathyroids were damaged during my surgery back in 2004 (total thyroidectomy) My numbers went from 11 to 7 and now 4. I was told no and that it's possible I have developed an autoimmune disorder thats causing my very low PTH (4) MY ionized calcium was 1.22, cortisol 8am-(14.5), 4pm-(9), CK (64), Myoglobin-28 Vit D 1-25 (46)
He would like to follow up with another ionized calcium in 6 months. For what ever reason my PTH is falling, is there anything I need to look out for in the future?
I've had muscle twitching & spasms in my calves for approx. 4-41/2 years now and because the calcium seems to appear normal what could be causing this. I've since developed intermittent numbness around the mouth, the feeling of pins & needles at the bottom of my feet when I walk and muscle twitching starting between my wrist and elbows.
My Endo believes that I may need to see a neurologist. This is fine with me as long as it has nothing to do with the PTH. (Kind of a wasted test if you know what I mean.) Any input would greatly be appreciated.
I'm a 48 yr. old female who just recently went for my yearly ultrasound with my Endo. I asked if it were possible that the parathyroids were damaged during my surgery back in 2004 (total thyroidectomy) My numbers went from 11 to 7 and now 4. I was told no and that it's possible I have developed an autoimmune disorder thats causing my very low PTH (4) MY ionized calcium was 1.22, cortisol 8am-(14.5), 4pm-(9), CK (64), Myoglobin-28 Vit D 1-25 (46)
He would like to follow up with another ionized calcium in 6 months. For what ever reason my PTH is falling, is there anything I need to look out for in the future?
I've had muscle twitching & spasms in my calves for approx. 4-41/2 years now and because the calcium seems to appear normal what could be causing this. I've since developed intermittent numbness around the mouth, the feeling of pins & needles at the bottom of my feet when I walk and muscle twitching starting between my wrist and elbows.
My Endo believes that I may need to see a neurologist. This is fine with me as long as it has nothing to do with the PTH. (Kind of a wasted test if you know what I mean.) Any input would greatly be appreciated.
Doctor's Answer
by Mark Lupo, M.D., Jul 03, 2009 06:04PM
, Jul 03, 2009 06:04PM
Would test magnesium, phosphorous and vitamin D levels to help complete the evaluation of the low PTH. However, if the calcium levels are normal, then it is hard to attribute the symptoms to the low PTH as the symptoms are thought to be due to the low calcium. It would be unusual to see parathyroid failure due to surgery this far out (4 years) from your thyroidectomy.
