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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Primary Hyperparathyroidism?
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.
Primary Hyperparathyroidism?
by mandy0022, Jan 13, 2008 10:06AM
I'm a 21, F. I have been having musical spasms, my finger and toes draw up and hurt. I’m always tired. I also have had kidney stones for the past 18 months they just keep coming back. Headaches that last days. I have been to a few different doctors but they just tell me it is just musical spasms nothing to worry about. So the other day the pain was so bad I wet to the clinic. And told them all of this. So he looked at me and went back and looked at my record and decided he was going to check my thyroid, parathyroid and cortisol. I got my labs back my parathyroid hormone was 62, cortisol 24.9, Calcium 10.2, ALT 71, WBC 11.7, Hemoglobin 15.3, Neutrophil Count 7.5, Basophil Count 0.2.
So my question is this can my parathyroid be the reason for cortisol level. Or could I have Cushing's syndrome because that was his fist thought.
So my question is this can my parathyroid be the reason for cortisol level. Or could I have Cushing's syndrome because that was his fist thought.
Doctor's Answer
by Mark Lupo, M.D., Jan 14, 2008 12:25PM
, Jan 14, 2008 12:25PM
the high cortisol is likely due to stress. It rules out Addison's but not cushings. An overnite low dose (1mg at 11pm) decadron suppression test with 8am cortisol drawn the next day can exclude that.
The parathyroid level is high-normal with high-normal Calcium, so hyperparathyroid may be the problem. Would repeat PTH along with an ionized calium level. The parathyroid itself is not causing the high cortisol.
The parathyroid level is high-normal with high-normal Calcium, so hyperparathyroid may be the problem. Would repeat PTH along with an ionized calium level. The parathyroid itself is not causing the high cortisol.
Member Comments (1)
by cartoonlori, Aug 26, 2008 06:06PM
A related discussion, Tests for Parathyroid problems? was started.
