Hyperparathyroidism, hypophosphatemia & low or normal calcium
Assessing the Clinical and Laboratory Parameters
This is an unusual combination, with several possibilities;
- True vitamin D deficiency (i.e. measure serum 25 OH D).
- Diet and phosphate binder dosing are associated with malnutrition.
- Consider direct suppression of PT glands with either active vitamin D analogues or calcimimetics (expensive)
Less than 1% of all patients are in this category.