Table 1.
Laboratory values and treatment doses at different time points.
| Initial presentation | Initial Evaluation at NIH | Pre PMT resection | Post PMT resection | |
|---|---|---|---|---|
| Serum phosphorus (2.5–4.8 mg/dL) | 1.9 | 2.0 | 2.0 | 4.4 |
| Serum calcium (2.05–2.50 mmol/L) | 2.35 | 2.27 | 2.14 | 2.30 |
| Alkaline phosphatase (37–116 U/L) | 570 | 187 | 135 | |
| TmP/GFR (2.8–4.2 mg/dL) | 1.54a | 1.46a | 4.56a | |
| 24-hour urinary calcium (50–250 mg/24 h) | 20 | 191 | ||
| 25-OH-vitamin D (10–100 ng/mL) | 25 | 22 | ||
| 1,25-OH2-vitamin D (18-78 pg/mL) | < 10 | 17 | 160 | |
| PTH (15-65 pg/mL) | 219.0 | 53.1 | 98.6 | 66.5 |
| Intact FGF23 (10–50 pg/mL) | 404 | 42 | ||
| Treatment (dose/24 h) | Calcitriol 2 μg, phosphorus 1 g, calcium 1.6 g | Calcitriol 4.5 μg, phosphorus 2.25 g, calcium 1.5 g | Calcium 1 g, cholecalciferol 1000 IU |
a
TmP/GFR measurements made off phosphorus supplements.