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Proteinuria due to Hyperparathyroidism - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2248 Questions
User :   Hi! I have proteinuria, but am an otherwise healthy person. We have been racking our brains and the Internet for reasons as to why I would have it, and the only thing that comes up is hyperparathyroidism. I have benign thyroid nodules that may or may not be on my parathyroid glands are causing all the related symptoms that I have. What do you think?
Doctor :   Hi
User :   Hello!
Doctor :   Please give me a few seconds to go through your query.
User :   no problem
Doctor :   May I ask you a few questions pertaining to your problem ?
User :   yes you may
Doctor :   What is your age and gender ?
User :   23 female
Doctor :   Ok
Doctor :   How are your RFT ?
User :   What is an RFT?
User :   a renal test?
Doctor :   Renal Function Tests
Doctor :   Yes you are right
User :   I'm not sure what a renal function test is exactly, but I have had 2 24-hr urine tests for protein and creatinine clearance. These tests were 6 mo. apart. The results of the first one were 222mg and the second were 300-something mg. My doctor said I should have one more 24-hr test in 6 mo to see if the numbers were still rising. I personally don't want to wait that long, and wonder if I can take care of it now.
User :   I am going to make an appt with a nephrologist tomorrow, but the anticipation of what this could be is making me wonder what I may have.
User :   as far as I know, the GFR, BUN, and others were normal.
Doctor :   Ok
Doctor :   I need to tell you that the possible differential diagnosis are : Doctor :   1. Any Glomerular disease
Doctor :   2.Reabsorption problems in Proximal tube liek Fancomi's Syndrome
Doctor :   3. Or high protein levels in serum.
Doctor :   But I would rule out glomerular problem as your Urine profile according to you is normal in BUN, GFR.
User :   So...related to hyperparathyroidism, and also related to the benign thyroid nodules that may be on my parathyroid gland, do you think my proteinuria could be caused by kidney damage from kidney stones resulting from too much calcium in the blood due to adenoma on the parathyroid gland?
Doctor :   Yes that is a possibilty very much.
Doctor :   I feel 6 months is longer time
Doctor :   You can consult a nephrologist in 2 months after the last test.
User :   why should I wait 2 mo?
Doctor :   As usually we see the prognosis for 2 months here in India to see if there is any renal injury which can recover in that time without any medical or surgical processess.
Doctor :   That is the protocol we follow.
Doctor :   Are you o any medication for your thyroid problem ?
User :   That makes sense. And no I'm not on any medications. I just get thyroid ultrasounds every year, so far no change in size
Doctor :   And how are your hormonal levels of t3,t4,tsh,Calcitonin, Parathormone
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