Hypoparathyroidism with Fahr’s syndrome: A case report and review of the literature

Table 1 Results of laboratory examinations

	Value	Normal range
Liver function
TBIL	26.8	≤ 21.0 µmol/L
DBIL	10	0.0-6.8 µmol/L
IBIL	16.8	0.5-10.5 µmol/L
TP	63.1	65.0-85.0 g/L
ALB	40.8	40-55 g/L
AST	34	15-40 IU/L
ALT	42	9-50 IU/L
ALP	83	45-125 IU/L
Thyroid function
FT3	2.67	3.22-6.47 pmol/L
FT4	20.51	10.18-21.36 pmol/L
T3	0.43	0.73-1.91 µg/L
T4	68	45-135 µg/L
TSH	0.743	0.3-4.44 mIU/L
a-Tg	6.06	0.0-100.0 IU/mL
Tg	5.68	0.0-70.0 µg/L
a-TPO	3.31	0.0-16.0 IU/ml
Coagulation function
PT	13.7	11.0-14.5 s
aPTT	35.6	26.0-42.0 s
TT	16.4	14.0-21.0 s
FIB	4.88	2.0-4.0 g/L
Blood gas analysis
pH	7.46	7.35-7.45
PO2	91.2	85.0-105.0 mmHg
PCO2	33.6	35.0-45.0 mmHg
HCO3-	23.6	22.0-29.0 mmol/L
Pituitary hormone
FSH	14.98	1.3-11.8 IU/L
LH	12.76	2.8-6.8 IU/L
PRL	13.25	4.1-18.5 µg/L
Sex hormone
E2Gen	39.3	0.0-44.5 ng/L
PROG	0.58	0.0-0.61 g/L
TEST	1.38	1.95-8.95 µg/L
Blood cell count
WBC	10.06 × 109	3.5-9.5 × 109/L
RBC	4.99 × 1012	4.3-5.8 × 1012/L
PLT	206 × 109	125.0-350.0 × 109/L
Others
PTH	2.46	6.0-80.0 ng/L
CT	6.9	0.0-18.0 ng/L
25OHD	85.75	76.0–250.0 nmol/L
24 h urinary calcium	4.07	2.7-7.5 mmol/24 h
24 h urine phosphorus	3.63	12.9-42.0 mmol/24 h

TBIL: Total bilirubin; DBIL: Direct bilirubin; IBIL: Indirect bilirubin; TP: Total protein; ALB: Albumin; ASL: Aspartate aminotransferase; ALT: Alanine aminotransferase; ALP: Alkaline phosphatase; FT3: Free triiodothyronine; FT4: Free tetraiodothyronine; T3: Triiodothyronine; T4: Tetraiodothyronine; TSH: Thyroid-stimulating hormone; a-Tg: Anti-thyroglobulin antibody; Tg: Thyroglobulin; a-TPO: Thyroid peroxidese antibody; PT: Prothrombin time; aPTT: Activated partial thromboplastin time; TT: Thrombin time; FIB: Fibrinogen; pO2: Partial pressure of oxygen; pCO2: Partial pressure of carbon dioxide; HCO3-: Actual bicarbonate radical; FSH: Follicle stimulating hormone; LH: Luteinizing hormone; PRL: Prolactin; E2Gen: Estradiol; PROG: Progestogen; TEST: Testosterone; PTH: Intact parathormone; CT: Calcitonin; 25OHD: 25-hydroxy (OH) vitamin D; WBC: White blood cells; RBC: Red blood cells; PLT: Platelets.

Table 2 Blood electrolyte changes during treatment

Date	Potassium	Sodium	Chlorine	Total calcium	Free calcium	Phosphorus	Magnesium	Lactic acid
7.28	3.39	138	100	1.41	0.70	2.07	0.72	1.4
7.29 (06:30)	3.74	136	100	1.79	0.9	2.21	0.72	1.7
7.29 (15:00)	3.87	138	100	1.83	0.92	2.05	0.73	2.2
7.30 (06:00)	3.88	136	97	1.68	0.84	1.92	0.75	2.2
7.30 (16:00)	4.02	139	101	2.13	1.06	1.96	0.76	2.5
7.31	4.08	135	99	1.87	0.94	1.82	0.81	2.2
8.1	4.01	137	97	1.87	0.94	1.44	0.81	2.9
8.2	3.52	139	99	1.76	0.88	1.73	0.82	1.6
8.3	3.94	137	96	1.87	0.94	1.61	0.91	2.0
8.7	3.94	135	96	1.91	0.95	1.87	0.89	2.4

Normal ranges: Potassium, 3.5-5.3 mmol/L; Sodium, 137-147 mmol/L; Chlorine, 99-110 mmol/L; Total calcium, 2.04-2.39 mmol/L; Free calcium, 1-1.25 mmol/L; Phosphorus, 0.87-1.45mmol/L; Magnesium, 0.65-1.05 mmol/L; Lactic acid, 1.3-2.8 mmol/L.