Dear Mohammad
I can quote another dozen cases similar to the one you mention. Other
things to look out for are thyrotoxicosis masking primary
hyperparathyroidism, sarcoidosis and tuberculosis masking primary
hyperparathyroidism (increased Ca but decreased PTH -treatment of primary
condition results in increase in PTH and calcium stays same or even
increases!)
Bill
--On 10 February 2003 16:32 +0000 Mohammad Al-Jubouri
<[log in to unmask]> wrote:
> Thanks Bill and all who kindly replied
>
> One of our care of the elderly physician recently had
> a case of fracture neck of femur. The care pathway for
> such patients recommends measuring calcium, vitamine D
> and PTH. The patient had low vitamin D and low normal
> calcium and raised PTH c/w secondary
> hyperparathyroidism. Hypercalcaemia developed upon
> vitamin D treatment with PTH still being raised.
>
> Mohammad
> --- William D Fraser <[log in to unmask]>
> wrote: > Dear Mohammad
>>
>> Yes.
>>
>> Bill Fraser
>>
>> --On 10 February 2003 15:10 +0000 Mohammad
>> Al-Jubouri
>> <[log in to unmask]> wrote:
>>
>> > Dear All
>> >
>> > Can vitamin D deficiency mask hypercalcaemia of
>> > primary hyperparthyroidism?
>> >
>> > Mohammad
>> >
>> > =====
>> > Dr. M A Al-Jubouri
>> > Consultant Chemical Pathologist
>> >
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>>
>> Professor W D Fraser
>> Department of Clinical Chemistry
>> The University of Liverpool
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>
> =====
> Dr. M A Al-Jubouri
> Consultant Chemical Pathologist
>
> __________________________________________________
> Do You Yahoo!?
> Everything you'll ever need on one web page
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Professor W D Fraser
Department of Clinical Chemistry
The University of Liverpool
4th Floor, Duncan Building
Daulby Street
Liverpool
L69 3GA
Tel: 0151 706 4247/4257
Fax: 0151 706 5813
------ACB discussion List Information--------
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community working in clinical biochemistry.
Please note, archived messages are public and can be viewed
via the internet. Views expressed are those of the individual and
they are responsible for all message content.
ACB Web Site
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