HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Parathyroid Hormone PTH Before Surgery Was 1000 Pg/ml And 1

default
Posted on Tue, 30 Jul 2019
Question: Parathyroid hormone PTH before surgery was 1000 pg/ml and 1 month after surgery 3035 pg/ml. During the surgery most of the parathyroid glands were removed. It was expected that after surgery the PTH will drop, but hasn’t. The patient is suffering from lower kidney function. The creatinine is 319umol/L. What’s the next step in this situation
doctor
Answered by Dr. Mirjeta Guni (31 hours later)
Brief Answer:
About secondary hyperparathyroidism:

Detailed Answer:
Hello and thank you for asking!
Secondary hyperparathyroidism caused by impaired renal function consists usually in hyperplasia of the 4 parathyroid glands and the intervention consists in removing 3+ 3/4 of the remaining 4th gland. The remaining 1/4 is implanted under the skin so it can be removed easily if PTh persists high after intervention.
In this case a parathyroid scintiscan with Sesta MiBi is performed to exclude an ectopic parathyroid gland and if it is excluded a re-intervention is recommended to remove the remaining gland.
Hope the information will help.
Best wishes,
Dr.Mirjeta
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Mirjeta Guni

Endocrinologist

Practicing since :2006

Answered : 2413 Questions

Ask me a question
premium_optimized

The User accepted the expert's answer

Ask a Nephrologist
Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2
Parathyroid Hormone PTH Before Surgery Was 1000 Pg/ml And 1

Brief Answer: About secondary hyperparathyroidism: Detailed Answer: Hello and thank you for asking! Secondary hyperparathyroidism caused by impaired renal function consists usually in hyperplasia of the 4 parathyroid glands and the intervention consists in removing 3+ 3/4 of the remaining 4th gland. The remaining 1/4 is implanted under the skin so it can be removed easily if PTh persists high after intervention. In this case a parathyroid scintiscan with Sesta MiBi is performed to exclude an ectopic parathyroid gland and if it is excluded a re-intervention is recommended to remove the remaining gland. Hope the information will help. Best wishes, Dr.Mirjeta