False High Parathormone Levels Due to Preanalytical Differences in Patient With Parathyroid Gland Autotransplantation

Cevdet Duran, Orkide Kutlu, Mustafa Cayci, Ferda Sevimli Burnik, Omer Karahan, Uysaler Aslan, Samil Ecirli

Abstract


High parathormone (iPTH) values in the patients having parathyroid autotransplantations can be derived from parathyromatosis or preanalytical differences. In this report, we presented a patient with kidney failure and factitiously high iPTH levels. Because of tertiary hyperparathyroidism, total parathyroidectomy and 1/2 parathyroid tissue autotransplantation to brachioradial muscle in right forearm operation has been performed. Although he has been followed with high iPTH levels for a long time, he does not have parathyromatosis. iPTH level was found normal when blood samples were taken from the other arm. High iPTH levels are thought to be related to the place where the blood samples taken i.e., samples taken from the proximal region of autotransplantation, we recommend the blood sample should be taken from the contralateral or distal region of the autotransplantation in order to avoid misdiagnosis and unnecessary and incorrect procedures in patients with parathyroid autotransplantation.




J Med Cases. 2013;4(10):694-695
doi: http://dx.doi.org/10.4021/jmc1497w

Keywords


Renal failure; Parathyroid autotransplantation; High parathormone level; Preanalytical difference

Full Text: HTML PDF
 

Browse  Journals  

 

Journal of clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

 

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

 

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

 

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

 

Journal of Neurology Research

International Journal of Clinical Pediatrics

 

 
       
 

Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.             
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.journalmc.org   editorial contact: editor@journalmc.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.