Table 6.6-2. Laboratory findings in secondary hyperparathyroidism

Cause

Total Ca/iCa

PO4

25(OH)D

PTH

Chronic Kidney Disease

Low/normal

High/very high

Low/ normal

High/very high

Vitamin D insufficiency

Low/normal

Low/normal

Low

High

Insufficient calcium intake

Low/normal

Normal

Normal

High

Malabsorption

Low/normal

Low

Low

High

Pseudohypoparathyroidism

Low

High

Normal

High

25(OH)D, 25-hydroxyvitamin D; iCa, ionized calcium; PO4, phosphate; PTH, parathyroid hormone.