Table 3.
Biochemical parameters at diagnosis and imaging characteristics of the study participants according to FHH-genotype
FHH-negative (n = 36, 54.5%) |
FHH-positive (n = 30, 45.5%) |
Reference range | P | |
---|---|---|---|---|
Biochemical parameters at diagnosis | ||||
Serum Ca2+ (mmol/L) | 2.64 (0.24) | 2.73 (0.21) | 2.10–2.55 | 0.24 |
Highest serum Ca2+ (mmol/L) | 2.78 (0.32) | 2.86 (0.25) | 0.43 | |
Serum PTH (pmol/L) | 13.18 (11.36) | 6.50 (5.77) | 1.60–6.90 | <0.001 |
Serum phosphate (mmol/L) | 0.84 (0.26) | 0.91 (0.26) | 0.87–1.45 | 0.20 |
Serum Mg2+ (mmol/L)* | 0.81 (0.09) | 0.93 (0.18) | 0.66–1.07 | <0.001 |
eGFR (mL/min/1.73m2) | 70.76 ± 3.81 | 84.42 ± 3.92 | 0.04 | |
25-hydroxivitamin D (nmol/L) | 51.02 (50.36) | 49.00 (36.9) | >50 | 0.53 |
CCCR ratio | 0.009 ± 0.001 | 0.009 ± 0.001 | 0.68 | |
Imaging characteristics | ||||
99 m Tc-sestamibi parathyroid scintigraphy (done), n (%) | 34 (94%) | 21 (70%) | 0.02 | |
Findings | ||||
Normal, n (%) | 20 (59%) | 19 (90%) | 0.03 | |
Uniglandular involvement, n (%) | 12 (35%) | 2 (10%) | ||
Multiglandular involvement, n (%) | 2 (6%) | 0 (0%) | ||
Neck ultrasound (done), n (%) | 25 (69%) | 21 (70%) | 0.96 | |
Findings | ||||
Normal, n (%) | 13 (52%) | 19 (90%) | 0.01 | |
Uniglandular involvement, n (%) | 12 (48%) | 2 (10%) | ||
Neck CT scan (done), n (%) | 12 (33%) | 9 (30%) | 0.79 | |
Findings | ||||
Normal, n (%) | 10 (83%) | 7 (78%) | 0.75 | |
Uniglandular involvement, n (%) | 2 (17%) | 1 (11%) | ||
Multiglandular, n (%) | 0 (0%) | 1 (11%) | ||
18F-Choline PET/CT (done), n (%)** | 6 (17%) | 0 (0%) | 0.03 | |
Findings | ||||
Negative result, n (%) | 0 (0%) | - | ||
Uniglandular involvement, n (%) | 5 (83%) | - | ||
Multiglandular involvement, n (%) | 1 (17%) | - |
Data are reported as mean ± standard error of the mean (Gaussian distribution) and as median (p25-p75) (non-Gaussian distribution)
FHH familial hypocalciuric hypercalcemia, Ca2+, albumin-adjusted calcium, PTH parathormone, Mg2+ magnesium, eGFR estimated glomerular filtration rate, CCCR calcium creatinine clearance ratio, CT computed tomography, PET/CT positron emission tomography/computed tomography
*Available in 49 participants (29 FHH-negative and 20 FHH-positive) **Only available in two centres after 2016