Variable | Reference | Analysis Before Parathyroidectomy | Analysis After Parathyroidectomy | Significant Changes | |
---|---|---|---|---|---|
2 months | 2 years | ||||
Hemoglobin | 12.0–16.0 gr/dl | 8.9 | 11.1 | 13.5 | * |
Hematocrit | 36.0–46.0 % | 27 | 32 | 42 | * |
White-cell count | 4500-11,000 /mm3 | 3640 | 8420 | 7250 | |
Neutrophils | 36.0–46.0 % | 57 | 83 | 81 | |
Lymphocytes | 12.0–16.0 % | 24 | 11 | 13 | |
Monocytes | 4–11 % | 10 | 4 | 5 | |
Eosinophils | 0–8 % | 7 | 1 | 1 | |
Basophils | 0–3 % | 2 | 1 | 0 | |
Platelet count | 150-400 mm3 | 256.000 | 344.000 | 340.000 | |
ERS ml/h | 1-20 ml/ h | 58 | 6 | 7 | * |
C-reactive protein | 0-1 mg/dl | 2.6 | Negative | Negative | |
Glucose (mg/dl) | 70-110 mg/dl | 83 | 91 | 88 | |
Urea nitrogen (mg/dl) | 8-25 mg/dl | 35.4 | 35.5 | 22 | |
Creatinine (mg/dl) | 0.6 – 1.1 mg/dl | 1.9 | 1.92 | 1.1 | * |
ALT | 7-30 u/liter | 8.2 | 37.9 | 14.0 | |
AST | 9-32 u/liter | 25 | 28.5 | 20.0 | |
Calcium | 8.5-10.5 mg/dl | 11.2 | 8.2 | 9.1 | * |
phosphorus | 2.6-4.5 mg/dl | 4.1 | 3.84 | 3.7 | |
Sodium | 135–145 mmol/L | 140 | 135 | 139 | |
Potassium | 3.4-4.8 mmol/L | 4.4 | 4.16 | 4.1 | |
Parathyroid hormone | 10-65 pg/ml | 213 | 82.9 | 34 | * |
TSH | 0.4- 4 µU/ml | 1.76 | 0.86 | 1.7 | |
Rheumatoid factor | < 14 | Negative | Negative | Negative | |
ANAS | 1:60- 1:120 | 1/1280 | 1/160 | 1/40 | * |
Anti-La | < 20 | 107.2 | 25.4 | 14 | * |
Anti-Ro | < 20 | 197 | 132 | 52 | ** |
Anti-Sm | < 20 | 3.9 | 1.5 | 1.7 | |
Anti-RNP | < 20 | 4.7 | 2.6 | 1.8 | |
Direct coombs | Negative | Positive ++ | Negative | Negative | * |
HCV Antibodies | Negative | ||||
HBsAg | Negative | ||||
Proteinuria | 0 mgr/dL | 150 | 40 | 0 | |
Serum albúmine | 2.9-4.9 gr/dl | 4.2 | 3.13 | 4.3 | |
Serum α 1 globuline | 0.08-0.36 gr/dl | 0.2 | 0.1 | 0,2 | |
Serum α 2 globuline | 0.44-1.09 gr/dl | 0.84 | 0.65 | 0.9 | |
Serum β 1 globuline | 0.66-1.05 gr/dl | 0.66 | 0.64 | 0.9 | |
Serum γ globuline | 0.57-1.95 gr/dl | 2.1 | 0.32 | 0.89 | * |
Serum Kappa chain | 574- 1276 | 2140 | 519 | 502 | * |
Serum lambda chain | 269-632 | 952 | 263 | 308 | * |
Urine Kappa chain | < 1.85 mg/dl | 2.59 | <1.85 | <1.85 | |
Urine Lambda chain | < 5 mg/dl | 5.2 | <5 | <5 | |
Medical Treatment | |||||
Prednisone | 25 mg/d | 10 mg/d | Withdraw | ||
Hydroxychloroquine | 200 mg/d | 100 mg/d | Withdraw | ||
Azathioprine | 100 mg/d | 50 mg/d | Withdraw |