Blood test results can anyone tell me what they mean?

[Dreamer7669]

I received my blood test results today and it states the following:

Test Name - Intact PTH     In Range            Out of Range         Reference Range
                                                                 89 H                     15-65 pg/ml

                                         Intact PTH in relation to Calcium

                                                   Intact PTH                       Calcium
Normal Parathyroid Function          Normal                             Normal
Hypoparathyroidism                      Low or Low Normal            Low
Primary Hyperparathyroidism:       Normal or High                   High
Secondary Hyperparathyrodism     High                                 Normal or Low
Tertiary Hyperparathyroidisom       High                                  High
Non-Parathyroid Hypercalcemia:  Low or Low Normal              High

Chronic Renal Disease:
Osteomalacia : typically normal to slightly elevated PTH Level
Osteitis Fibrosa : elevated to markedly to markedly elevated PTH level


Can anyone tell me what this means since I can not get a straight answer from my doctors?
Please if you know of a better place to post this let me know.
Thank you
Dreamer

[Dreamer7669]

Thank you I am now starting to understand a little about what all this means. :)
I was not on any calcium supplements at either test. They have recently advised me that my body is not producing any Vitamin D at all which is not good since I already have Osteoporosis in my back and hips. :(
I always assumed that the thyroid had to do with only your weight and as far as I was concerned it was no big deal to me that I was thin.
I have been thin all my life so it was no big deal.
But now I'm having a whole lot more issues with my health that are just unbelievable. I sometimes go from hot to cold in two seconds flat. I sweat like crazy at times and then nights like tonight I can not sleep to save my life.
I also have suddenly (over the last year) become very irritable and have seem to be forgetting things a lot!
I'm generally an easy going person but lately everything irritates me and annoys me.


I hate to seem like I'm an idiot but you said  PTH ? which part of the test is that?
So if I'm understanding correctly there are two different things going on...one being Possible Graves and the other the secondary Hyperparathyroidism going on right?

And (The Thyroid stim immglob test also picks up other immunoglobulin and this is also indicitive that you have HPT. ) I take it that the score of 3.2 is high but how high is too high and dangerous high?

And no I'm not on any thyroid medication at all, you see last April was the first time I ever had a thyroid test and they referred me to an Endo doctor then but my mom was seriously ill and I had to be there for her so what they wanted me to do and what I did were totally different.
And if I may ask another question or two.
If I do nothing about the thyroid issue what will happen then? I mean just pure curiosity talking here because no one has actually said what the consequences would be.
And lastly my uptake scan showed several multinodular cold areas in both my right and left lower, middle and upper thyroid and now they are talking about a biopsy and the possibility of spreading to my lymph nodes. Obviously I understand this is serious but just what are they talking about in terms of cold areas?

I truly appreciate all of your answers and help in this as I have two children that I need to think about and I'd like to be around to see them have a good life.
Thanks again.
Dreamer

[redheadaussie]

Hi, the Renal diseas part etc, is just what it might be..given all the information they have on the tests. I have a TSH test done every six weeks and often my doctor forgets to write on the request; total thyroidectomy on Oroxine 100mcgs....if he doesn't put that, the results always say... Hyperthyroidism noted, medication in order to change levels is advised. So, it doesn't mean you HAVE those diseases, but a possiblity.
   With your calcium level being at 9.5 that would classified as a Normal-high level. This fits with your PTH that you have Secondary Hyperparathyroidism.
   No Graves and Hyperparathyroidism are entirely separate issues. But you can have Graves and HPT too.
As you see in your TPO-ab's you are high, which fits Grave's disease.
The thyroid tests show you are hyper at the moment. The Thyroid stim immglob test also picks up other immunoglobulin and this is also indicitive that you have HPT.
  The thing is one calcium test shows 9.5 and then your latest shows 12  with a different reference range. Were you taking calcium supplements at the time of the first test then not had them for a while on the second test? Because that changes the whole HPT idea!
Are you on any thyroid medications at all?

[Dreamer7669]

My Tsh was at 0.02 L  reference was 0.45 -4.50
T4 was 1.5 reference was 0.8-1.7
Tpo-ab was >1000 H reference <35
Calcium was 12 L range 20-100

The endocrine done on 4/15/09
Sensitive Tsh Normal range (0.30-5.0) Scored 0.02
Trilodothyronine Normal Range ( 80-190) Scored 220
Thyroxine, Free Normal Range (0.6-1.6) Scored 0.78
Thyroide Stim Immglob (0-1.3)               Scored 3.2 yes not a misprint.

[Dreamer7669]

My calcium levels were ok I think here were the results of my latest blood tests.
I received my blood test results today and it states the following:

Test Name - Intact PTH     In Range            Out of Range         Reference Range
                                                                 89 H                     15-65 pg/ml

                                         Intact PTH in relation to Calcium

                                                   Intact PTH                       Calcium
Normal Parathyroid Function          Normal                             Normal
Hypoparathyroidism                      Low or Low Normal            Low
Primary Hyperparathyroidism:       Normal or High                   High
Secondary Hyperparathyrodism     High                                 Normal or Low
Tertiary Hyperparathyroidisom       High                                  High
Non-Parathyroid Hypercalcemia:  Low or Low Normal              High

Chronic Renal Disease:
Osteomalacia : typically normal to slightly elevated PTH Level
Osteitis Fibrosa : elevated to markedly to markedly elevated PTH level


Can anyone tell me what this means since I can not get a straight answer from my doctors?
Please if you know of a better place to post this let me know.
Thank you

[Dreamer7669]

Hi and thank you for the information.
Does it mean anything that they put Chronic Renal Disease? Or Osteomalacia, and Osteitis Fibrosa or are those just possibilities?
And can you tell me what hyperhyperthyroidism is and is this the same thing as Graves Disease?
My Calcium is at 9.5 in Range and the Reference Range is 8.7-10.4 Does this make any sense at all?
Thank you again for your help on this.
Dreamer

[redheadaussie]

It's saying your PTH is high. The rest is just an explanation that if you had low or high PTH and low or high calcium then you would have which ever disease is listed....If you have high PTH and normal to low calcium you would have Secondary Hyperparathyroidism.

  So to have 89 means it is high. Your parathyroids are excreting too much hormone into your system.
You should get your calcium levels checked if you haven't already.