Case Report
Amelioration of Sickle Cell Pain after Parathyroidectomy in Two Patients with Concurrent Hyperparathyroidism: An Interesting Finding
Table 1
Hb: hemoglobin, HPLC: high performance liquid chromatography, HbS: sickle cell hemoglobin, HbF: fetal hemoglobin, HbA and HbA2: adult hemoglobin, and PTH: parathyroid hormone.
| | Case 1 | Case 2 |
| Age | 59 | 26 | Gender | Female | Male | Sickle cell genotype | Sickle cell-beta+ thalassemia | Homozygous sickle cell (HBSS) | Hb (range 14–18 mg/dL) | 9.8 | 7.1 | Reticulocyte (range 0.5–2.9%) | 2 | 5 | Lactate dehydrogenase (range 135–225 U/L) | 300 | 269 | Total bilirubin (range 0.0–1.2 mg/dL) | 1.2 | 0.7 | HPLC | | | HbS% | 65.4 | 14.5 | HbF% | 5.2 | <1 | HbA% | 22.4 | 81.8 | HbA2% | 7 | 2.7 | Calcium level (range 8.4–10.3 mg/dL) | 12.7 | 11.8 | Phosphate level (range 2.7–4.5 mg/dL) | 1.9 | 9.1 | PTH level (range 14–72 pg/mL) | 147 | 4078 | Vitamin D level (range 30–100 ng/mL) | 23 | 20 | Pathologic diagnosis | Parathyroid adenoma | Parathyroid hyperplasia |
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