My brother in laws labs came

It doesn't just scream hyper P. Calcium 10.5 pth 27, He may have a long road ahead. He had a lung infection about 2 months ago. Makes me think maybe sarcoidois. His doc did not run vit d, so that makes me think he is not up on phpt. I read in sarc's where vit d is elevated. I told him he needs another set of labs that includes vit D. Any input is always welcomed. Thanks  Kathi

Hi Kathi - Ca looks high in its range, but PTH looks OK. I think Audrey had these in this relationship just after her op, so it's not looking like hyperparathyroidism at the moment.

Yes, another (and more) sets of labs to include Vit D and phosphates (usually low in HPT) would be good.

I think in sarcoidosis it is the 1,25 (OH) type of Vit D that is elevated. Not an easy thing to get tested over here. When I was researching sarcoidosis I did eventually manage to get the 1,25 (OH) Vit test and mine was not elevated, which seemed to rule out sarcoid.

Good luck with the research on this - keep us posted on developments.

Love from Tigerlily xxxx

Hmmmm.........yes, this looks like a tough case. Tigerlily is right in saying that my calcium remained in the 10s post-op with low PTHs. My first was 10.2 with a PTH of 26.8. Next was calcium of 10.0, PTH 38.0. Then calcium 10.0, PTH 31.7. Then calcium 9.9 PTH 42; calcium of 10.0, PTH 22; and calcium of 9.7, PTH 39.

Although, a calcium of 10.5 is high, it doesn't appear to be a parathyroid problem with a PTH as low as his is. I guess he will need his levels repeatedly tested in order to diagnose this. It's a real shame that this disease can't be diagnosed with just one blood draw. It's sad that we all have to struggle for so long before we can be diagnosed. Please wish your brother-in-law good luck for me.

Audrey

Thanks Tigerlily and Audrey. He does have some phpt symptoms like fatigue and foot pain, I have hip pain but I know some had foot pain. He is 70 so could be age related. I just hope his gp will follow through and find the cause of the elevated calcium. Love to you both Kathi

PS I will mention the 1.25 oh on vit d I told him about the 25oh, good looking out T.

Cheers, Kathi - good luck with this - my feeling is possibly early sarcoidosis, but I hope not!

Love from Tigerlily xxxx