Parathyroid disorders: Difference between revisions
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==Diagnosis== | ==Diagnosis== | ||
{| | |||
! colspan="2" rowspan="2" style="background: #4479BA; text-align: center;" |{{fontcolor|#FFF|Disorder}} | |||
! colspan="4" style="background: #4479BA; text-align: center;" |{{fontcolor|#FFF|Laboratory findings}} | |||
|- | |||
| style="background: #7d7d7d; text-align: center;" |{{fontcolor|#FFF|'''Parathyroid hormone''' }} | |||
| style="background: #7d7d7d; text-align: center;" |{{fontcolor|#FFF|'''Serum calcium'''}} | |||
| style="background: #7d7d7d; text-align: center;" |{{fontcolor|#FFF|'''Serum phosphate'''}} | |||
| style="background: #7d7d7d; text-align: center;" |{{fontcolor|#FFF|'''Other findings'''}} | |||
|- | |||
| rowspan="3" style="background: #DCDCDC; text-align: center;" | Hyperparathyroidism | |||
| style="background: #DCDCDC; text-align: center;" |Primary hyperparathyroidism | |||
| style="background: #F5F5F5; text-align: center;" |'''↑''' | |||
| style="background: #F5F5F5; text-align: center;" |'''↑''' | |||
| style="background: #F5F5F5; text-align: center;" |'''↓'''/Normal | |||
| style="background: #F5F5F5; |Normal/'''↑''' calcitriol | |||
|- | |||
| style="background: #DCDCDC; text-align: center;" |Secondary hyperparathyroidism | |||
| style="background: #F5F5F5; text-align: center;" |'''↑''' | |||
| style="background: #F5F5F5; text-align: center;" |'''↓'''/Normal | |||
| style="background: #F5F5F5; text-align: center;" |'''↑''' | |||
| style="background: #F5F5F5; text-align: center;" |-- | |||
|- | |||
| style="background: #DCDCDC; text-align: center;" |Tertiary hyperparathyroidism | |||
| style="background: #F5F5F5; text-align: center;" |'''↑''' | |||
| style="background: #F5F5F5; text-align: center;" |'''↑''' | |||
| style="background: #F5F5F5; text-align: center;" |'''↑''' | |||
| style="background: #F5F5F5; text-align: center;" |-- | |||
|- | |||
| colspan="2" style="background: #DCDCDC; text-align: center;" |Familial hypocalciuric hypercalcemia | |||
| style="background: #F5F5F5; text-align: center;" |Normal/'''↑''' | |||
| style="background: #F5F5F5; text-align: center;" |Normal/'''↑''' | |||
| style="background: #F5F5F5; text-align: center;" |-- | |||
| style="background: #F5F5F5;|'''↓''' Urinary calcium/creatinine clearance ratio | |||
|- | |||
| colspan="2" style="background: #DCDCDC; text-align: center;" |Hypoparathyroidism | |||
| style="background: #F5F5F5; text-align: center;" | | |||
| style="background: #F5F5F5; text-align: center;" | | |||
| style="background: #F5F5F5; text-align: center;" | | |||
| style="background: #F5F5F5; | | |||
|- | |||
| rowspan="5" style="background: #DCDCDC; text-align: center;" |Pseudohypoparathyroidism | |||
| style="background: #DCDCDC; text-align: center;" | Pseudohypoparathyroidism type 1A | |||
| style="background: #F5F5F5; text-align: center;" | | |||
| style="background: #F5F5F5; text-align: center;" | | |||
| style="background: #F5F5F5; text-align: center;" | | |||
| style="background: #F5F5F5; | | |||
|- | |||
| style="background: #DCDCDC; text-align: center;" | Pseudohypoparathyroidism type 1B | |||
| style="background: #F5F5F5; text-align: center;" | | |||
| style="background: #F5F5F5; text-align: center;" | | |||
| style="background: #F5F5F5; text-align: center;" | | |||
| style="background: #F5F5F5; | | |||
|- | |||
| style="background: #DCDCDC; text-align: center;" | Pseudohypoparathyroidism type 1C | |||
| style="background: #F5F5F5; text-align: center;" | | |||
| style="background: #F5F5F5; text-align: center;" | | |||
| style="background: #F5F5F5; text-align: center;" | | |||
| style="background: #F5F5F5; | | |||
|- | |||
| style="background: #DCDCDC; text-align: center;" | Pseudopseudohypoparathyroidism | |||
| style="background: #F5F5F5; text-align: center;" | | |||
| style="background: #F5F5F5; text-align: center;" | | |||
| style="background: #F5F5F5; text-align: center;" | | |||
| style="background: #F5F5F5; | | |||
|- | |||
| style="background: #DCDCDC; text-align: center;" | Pseudohypoparathyroidism type 2 | |||
| style="background: #F5F5F5; text-align: center;" | | |||
| style="background: #F5F5F5; text-align: center;" | | |||
| style="background: #F5F5F5; text-align: center;" | | |||
| style="background: #F5F5F5; | | |||
|- | |||
| style="background: #DCDCDC; text-align: center;" | | |||
| style="background: #F5F5F5; text-align: center;" | | |||
| style="background: #F5F5F5; text-align: center;" | | |||
| style="background: #F5F5F5; text-align: center;" | | |||
| style="background: #F5F5F5; | | |||
|} | |||
==Differentiating Parathyroid Disorders== | ==Differentiating Parathyroid Disorders== | ||
Revision as of 19:17, 5 October 2017
|
Parathyroid disorders |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Usama Talib, BSc, MD [2]
Synonyms and keywords:
Overview
Classification
| Parathyroid disorders | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Hyperparathyroidism | Familial hypocalciuric hypercalcemia | Hypoparathyroidism | Parathyroid hormone resistance diseases | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Primary | Secondary | Tertiary | Post-surgical | Autoimmune | Genetic defects associated | Functional | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Pseudohypoparathyroidism | Acrodysostosis | Blomstrand chondrodysplasia | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Pseudohypoparathyroidism type 1 | Pseudohypoparathyroidism type 2 | Acrodysostosis type 1 | Acrodysostosis type 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Type 1A | Type 1B | Type 1C | Pseudopseudohypoparathyroidism | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Diagnosis
| Disorder | Laboratory findings | ||||
|---|---|---|---|---|---|
| Parathyroid hormone | Serum calcium | Serum phosphate | Other findings | ||
| Hyperparathyroidism | Primary hyperparathyroidism | ↑ | ↑ | ↓/Normal | Normal/↑ calcitriol |
| Secondary hyperparathyroidism | ↑ | ↓/Normal | ↑ | -- | |
| Tertiary hyperparathyroidism | ↑ | ↑ | ↑ | -- | |
| Familial hypocalciuric hypercalcemia | Normal/↑ | Normal/↑ | -- | ↓ Urinary calcium/creatinine clearance ratio | |
| Hypoparathyroidism | |||||
| Pseudohypoparathyroidism | Pseudohypoparathyroidism type 1A | ||||
| Pseudohypoparathyroidism type 1B | |||||
| Pseudohypoparathyroidism type 1C | |||||
| Pseudopseudohypoparathyroidism | |||||
| Pseudohypoparathyroidism type 2 | |||||