Table 1 Principal biochemical parameters of the patient before and after surgery for primary hyperparathyroidism
Parameter | Normal range | 1 month before surgery | 4 days after surgery | 4 months after surgery |
|---|---|---|---|---|
Ca (mmol/L) | 2,1-2,5 | 4,2 | 2,5 | 2,2 |
P (mmol/L) | 0,8-1,4 | 0,6 | 0,7 | 1,1 |
PTH (ng/L) | 5-27 | 252 | <4 | 12 |
ACTH (ng/L) | 10-50 | 128 | 126 | 38 |
Morning salivary cortisol (ng/mL) | 2,6-15,3 | 13,1 | - | 12,2 |
Late-night salivary cortisol (ng/mL) | 0,1-5,2 | 15,8 | - | 3,4 |
Daily urinary cortisol (nmol/24 h) | 30-193 | 557 | 281 | 80 |
Serum cortisol after 1 mg DST (nmol/L) | <50 | 223 | - | 30 |
TSH (mIU/L) | 0,2-4 | 1,04 | 0,03 | 1,17 |
FT4 (pmol/L) | 9-22 | 19,9 | 26,9 | 18,7 |
FT3 (pmol/L) | 3,9-6,8 | 3,9 | 10,4 | 4,1 |