Case Report
Persistent Primary Hyperparathyroidism, Severe Vitamin D Deficiency, and Multiple Pathological Fractures
Table 1
Laboratory test at hospitalization and follow-up after surgery.
| Laboratory test | Reference range | Baseline | 8 days after surgery | One month after surgery |
| Urea (mg/dL) | 10.0–50.0 mg/dL | 59 | 93 | 96 | Creatinine (mg/dL) | 0.4–1.2 mg/dL | 2.4 | 1.27 | 1.49 | Calcium (mg/dL) | 8.4–10.2 mg/dL | 14 | 6.8 | 8.2 | Phosphorus (mg/dL) | 2.7–4.5 mg/dL | 2.3 | 2.1 | 3.5 | Magnesium (mg/dL) | 1.6–2.6 mg/dL | 2.2 | 1.1 | 1.8 | Alkaline phosphatase (UI/L) | 40–129 UI/L | 1580 | 1297 | 910 | PTH (pg/mL) | 10–65 pg/mL | 1648 | 37.3 | 37.6 | Vitamin D (ng/mL) | Deficiency < 10 mg/mL Insufficiency 10–30 mg/dL, Sufficiency 30–100 mg/dL Toxicity > 100 mg/dL | 4 | 15 | 17 |
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PTH, parathyroid hormone.
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