Case Report
A Rare Observation of Brachymetacarpia and Brachymetatarsia in a Patient with Primary Idiopathic Hypoparathyroidism
Table 1
Summary of the investigation results.
| | Investigation | Value | Normal range |
| | Serum ionized calcium | 0.54 mmol/L | 2.2–2.6 mmol/L | | Serum phosphate | 0.37 mmol/L | 0.97–1.45 mmol/L | | Serum magnesium | 0.69 mmol/L | 0.85–1.10 mmol/L | | Serum albumin | 3.5 g/dL | 3.2–5.4 g/dL | | Vitamin D level | 13.07 ng/mL | 10–29 ng/mL | | Parathyroid hormone level | 4.22 pg/mL | 15–35 pg/mL |
| | Urine calcium/creatinine ratio | 0.46 | <0.14 |
| | White cell count | 10.9 × 103/μL | 4.5 × 103–11 × 103/μL | | Neutrophils % | 66% | 45–68% | | Hemoglobin | 10.6 g/dL | 11.6–15.0 g/dL | | Mean corpuscular volume | 95.5 fL | 86–100 fL | | Platelet count | 478 × 103/μL | 150–450/μL |
| | ESR | 100 mm/1st hour | <30 mm/1st hour | | C-reactive protein level | 23 mg/dL | <10 mg/dL |
| | Serum sodium | 137 mmol/L | 135–145 mmol/L | | Serum potassium | 3.5 mmol/L | 3.5–5.0 mmol/L |
| | Fasting blood sugar | 118 mg/dL | <126 mmol/L | | Aspartate transaminase | 40 U/L | 40 U/L | | Alanine transaminase | 22 U/L | 25 U/L | | Alkaline phosphatase | 92.32 U/L | 44–147 U/L | | Serum creatinine | 79.98 μmol/L | 53–97 μmol/L | | Blood urea | 6.3 mmol/L | 2.1–8.5 mmol/L |
| | TSH | 9.87 mIU/L | 0.5–5 mIU/L | | Free T4 | 16.1 pmol/L | 12–30 pmol/L |
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