This needs retesting of both Calcium and PTH.
With the high-ish albumin, we sometimes also ionized calcium (although this is not always accurate).
Fasting may help if phosphorous is being tested (which may help make the diagnosis).
My feeling is that with a Ca of 10.6 the PTH should be < 20 in most cases - so this is suspicous for primary hyperparathyroidism but needs more evaluation before considering treatment (surgery).
I'm sorry. I made a typo. I meant calcium level of 10.6 and a PTH level of 21. I know I said 21 for both things. That's NOT correct.
Thank you for your response Dr. Lupo. I was retested this morning around 9:30 AM and I did fast. I didn't eat for 25 hours total because of my schedule. Unfortunately my Phosphorous was not tested. The only test on the lab slip was "parathyroid hormone" and a DX of Hypercalcemia. I should have contacted you sooner I guess. Thank you very much for your valuable feedback. I will print this and show this to my new doctor when I move in 3 weeks and get set up with someone in my new state. Thank you so much.
Hi Dr. Lupo,
I wrote to you before telling you my calcium level was 10.6 and my PTH was 21. I also told you my albumin was high and you suggested getting my phosphorous tested and to be retested for my calcium and PTH. I was retested and my level was 21 again for the PTH. I was recently in the ER and had blood work done for a third time. My calcium this most recent time was 9.4 and my ALK PHOSPHOROUS was tested but I'm not sure if thats what you were looking for. If it is, that level read at 54. Not sure if the ALK is what you wanted tested. Also on the print out of my results, my SGOT was low at 5. It says "L" beside it which I'm assuming means "low?" Also, my glucose was 105 and it has an "H" beside it which again, I assume means "high." I WASN'T fasting. Does it sound like I have hyperparathyroidism? If so, can you recommend any good endocrinologists in my area? I live in Peoria, Illinois.
Thank you so much for your time. I truly appreciate it.
My blood calcium levels were always in the mid to upper 10's, with high ionized calcium, and a PTH level anywhere from 17 to 49. Never any higher. All my other tests were always fine. Finally a MRI showed one adenoma on the right parathyroid, and they found the second one durning surgery. My surgeon was suprised that I had such normal PTH levels. I should say, that the average PTH level was around 35 most of the time. I also had testing done to rule out the other causes of high blood calcium, and saw a great endocrinologist in Indiana. Hope this helps.
Thank you for your response. What kind of symptoms did you have if you don't mind me asking? Whatever the symptoms, do you feel better after surgery? I'd really like to know what you dealt with as far as symptoms/problems from the parathyroid issue. I have too many to name but I'd like to see if there are any similarities to our symptoms. Thanks for your response and I look forward to hearing from you soon hopefully.