The patient is admitted to the hospital for pain control as well as further work-up and management.
Take a look at some initial testing below (click!):
Basic labs
Phosphate level
7.2 mg/dL (normal 2.5-4.5 mg/dL)
Fibrinogen level
250 mg/dL (normal 150-400 mg/dL)
Blood culture
2 sets of blood cultures drawn on admission have not grown any organism after 48 hours
Intact Parathyroid Hormone (iPTH)
722 pg/mL (normal 10 – 65 pg/mL)
A biopsy is performed in this case to confirm the diagnosis after discussion of the risks and benefits with the patient and multidisciplinary team.
Click here to view the skin biopsy results!
Case 33 Index
Case 33 Introduction
Case 33 Physical Exam